{
"Npi": {
"NPI": "1407028590",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BRIAN DELL GASSER NP LLC",
"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": "772 E 100 N",
"SecondLineMailingAddress": "SUITE #6",
"MailingAddressCityName": "PAYSON",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84651-2345",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-376-2052",
"MailingAddressFaxNumber": "801-465-6161",
"FirstLinePracticeLocationAddress": "772 E 100 N",
"SecondLinePracticeLocationAddress": "SUITE #6",
"PracticeLocationAddressCityName": "PAYSON",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84651-2345",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "801-376-2052",
"PracticeLocationAddressFaxNumber": "801-465-6161",
"EnumerationDate": "03/28/2008",
"LastUpdateDate": "05/27/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GASSER",
"AuthorizedOfficialFirstName": "BRIAN",
"AuthorizedOfficialMiddleName": "DELL",
"AuthorizedOfficialTitle": "OWNER NURSE PRACTITIONER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "APRN BC",
"AuthorizedOfficialTelephoneNumber": "801-376-2052",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "2072864405",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}