{
"Npi": {
"NPI": "1629227517",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "TAGGART",
"FirstName": "DONALD",
"MiddleName": "MATHEW",
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "MS, CAADC, LCDP",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "501 W 14TH ST STE 1E40",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "WILMINGTON",
"MailingAddressStateName": "DE",
"MailingAddressPostalCode": "19801-1013",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "302-320-6356",
"MailingAddressFaxNumber": "302-320-2121",
"FirstLinePracticeLocationAddress": "254 E. MAIN ST.",
"SecondLinePracticeLocationAddress": "OPEN DOOR, INC.",
"PracticeLocationAddressCityName": "NEWARK",
"PracticeLocationAddressStateName": "DE",
"PracticeLocationAddressPostalCode": "19711",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "302-731-1504",
"PracticeLocationAddressFaxNumber": "302-731-2720",
"EnumerationDate": "09/16/2008",
"LastUpdateDate": "03/08/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "101YA0400X",
"TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
"LicenseNumber": "CD-0000025",
"LicenseNumberStateCode": "DE",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}