{
"Npi": {
"NPI": "1568790715",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MATTHEW WESTRICH DC PA",
"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": "9550 SW 181ST TER",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PALMETTO BAY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33157-5629",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "305-492-9075",
"MailingAddressFaxNumber": "305-969-8754",
"FirstLinePracticeLocationAddress": "9851 E EVERGREEN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CUTLER BAY",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33157-5441",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "305-235-1241",
"PracticeLocationAddressFaxNumber": "305-460-5082",
"EnumerationDate": "11/30/2009",
"LastUpdateDate": "07/20/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WESTRICH",
"AuthorizedOfficialFirstName": "MATTHEW",
"AuthorizedOfficialMiddleName": "DAVID",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "305-492-9075",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "CH9148",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}