{
"Npi": {
"NPI": "1609141506",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "KASTYTIS BUITKUS MD PC",
"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": "6593 MINNOW POND DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WEST BLOOMFIELD",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48322-2660",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "248-926-4047",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1265 NORTH MILFORDN RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MILFORD",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48381",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "248-685-2222",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/12/2012",
"LastUpdateDate": "03/24/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BUITKUS",
"AuthorizedOfficialFirstName": "KASTYTIS",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "248-926-4047",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "KB 050601",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}