{
"Npi": {
"NPI": "1538348800",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JOHN R PIERCE JR 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": "471 E 1000 S STE D",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PLEASANT GROVE",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84062-3694",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-830-6161",
"MailingAddressFaxNumber": "281-334-8874",
"FirstLinePracticeLocationAddress": "622 FM 517 W",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "DICKINSON",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "77539",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "409-949-4100",
"PracticeLocationAddressFaxNumber": "281-334-8874",
"EnumerationDate": "11/02/2007",
"LastUpdateDate": "08/14/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HERMOSILLO",
"AuthorizedOfficialFirstName": "ALICIA",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "ADMIN",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "801-830-6161",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "222Z00000X",
"TaxonomyName": "Orthotist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "224P00000X",
"TaxonomyName": "Prosthetist",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "335E00000X",
"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": [
{
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
},
{
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
]
}
}
}