{
"Npi": {
"NPI": "1407016942",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ML TIMM A CHIROPRACTIC CORP",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "560 S ESCONDIDO BLVD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ESCONDIDO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92025-4816",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "760-741-0774",
"MailingAddressFaxNumber": "760-741-0775",
"FirstLinePracticeLocationAddress": "560 S ESCONDIDO BLVD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ESCONDIDO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "92025-4816",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "760-741-0774",
"PracticeLocationAddressFaxNumber": "760-741-0775",
"EnumerationDate": "06/09/2008",
"LastUpdateDate": "10/22/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TIMM",
"AuthorizedOfficialFirstName": "MAURA",
"AuthorizedOfficialMiddleName": "LINDSAY",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "760-741-0774",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QH0100X",
"TaxonomyName": "Health Service Clinic/Center",
"LicenseNumber": "DC29376",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}