{
"Npi": {
"NPI": "1306934708",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "ALLEN",
"FirstName": "MARK",
"MiddleName": "A.",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.C.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "ALLEN",
"OtherFirstName": "MARK",
"OtherMiddleName": "A.",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "D.C.",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "2525 CALIFORNIIA ST.",
"SecondLineMailingAddress": "SUITE A&B",
"MailingAddressCityName": "COLUMBUS",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "47201-3671",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "812-376-3621",
"MailingAddressFaxNumber": "812-376-9150",
"FirstLinePracticeLocationAddress": "2525 CALIFORNIA ST",
"SecondLinePracticeLocationAddress": "SUITE A&B",
"PracticeLocationAddressCityName": "COLUMBUS",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "47201-3678",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "812-376-3621",
"PracticeLocationAddressFaxNumber": "812-376-9150",
"EnumerationDate": "10/11/2006",
"LastUpdateDate": "11/15/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "08000525A",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}