{
"Npi": {
"NPI": "1457741373",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JOHN B. RASOR D.O, P.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7960 GRAND RIVER RD",
"SecondLineMailingAddress": "SUITE 160",
"MailingAddressCityName": "BRIGHTON",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48114-7330",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "810-227-2767",
"MailingAddressFaxNumber": "810-227-2760",
"FirstLinePracticeLocationAddress": "7960 W. GRAND RIVER",
"SecondLinePracticeLocationAddress": "SUITE 160",
"PracticeLocationAddressCityName": "BRIGHTON",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48843",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "810-227-2767",
"PracticeLocationAddressFaxNumber": "810-227-2760",
"EnumerationDate": "01/30/2015",
"LastUpdateDate": "01/30/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RASOR",
"AuthorizedOfficialFirstName": "MICHELE",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "OFFICE MANAGER",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "R.N.",
"AuthorizedOfficialTelephoneNumber": "810-227-2767",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "305R00000X",
"TaxonomyName": "Preferred Provider Organization",
"LicenseNumber": "5101009380",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}