{
"Npi": {
"NPI": "1588853360",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "QUESTMEDICINE LTD",
"ParentOrgTIN": null,
"OrgName": "QUEST MEDICINE LTD",
"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": "3301 N MILLER RD",
"SecondLineMailingAddress": "#160",
"MailingAddressCityName": "SCOTTSDALE",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85251-6431",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "480-990-7200",
"MailingAddressFaxNumber": "480-990-7331",
"FirstLinePracticeLocationAddress": "100 N HWY 89",
"SecondLinePracticeLocationAddress": "#B",
"PracticeLocationAddressCityName": "CHINO VALLEY",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "86323-5980",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "480-990-7200",
"PracticeLocationAddressFaxNumber": "480-990-7331",
"EnumerationDate": "10/17/2007",
"LastUpdateDate": "10/05/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHONS",
"AuthorizedOfficialFirstName": "MEGAN",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "OFFICE MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "480-990-7200",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "225500000X",
"TaxonomyName": "Respiratory/Developmental/Rehabilitative Specialist/Technologist",
"LicenseNumber": "17735",
"LicenseNumberStateCode": "AZ",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}