{
"Npi": {
"NPI": "1538452826",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GLASGOW CHIROPRACTIC AND REHABILITATION P.L.L.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": "2230 N UNIVERSITY PKWY",
"SecondLineMailingAddress": "#6B",
"MailingAddressCityName": "PROVO",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84604-1509",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-235-9944",
"MailingAddressFaxNumber": "801-235-9955",
"FirstLinePracticeLocationAddress": "2230 N UNIVERSITY PKWY",
"SecondLinePracticeLocationAddress": "#6B",
"PracticeLocationAddressCityName": "PROVO",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84604-1509",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "801-235-9944",
"PracticeLocationAddressFaxNumber": "801-235-9955",
"EnumerationDate": "05/19/2011",
"LastUpdateDate": "06/27/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GLASGOW",
"AuthorizedOfficialFirstName": "KIMBERLY",
"AuthorizedOfficialMiddleName": "K",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C, M.S.",
"AuthorizedOfficialTelephoneNumber": "801-235-9944",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "74641861202",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}