{
"Npi": {
"NPI": "1629390877",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "HOFFER",
"FirstName": "JOSEPH",
"MiddleName": null,
"NamePrefix": "MR.",
"NameSuffix": null,
"Credential": "MS, ATC/L",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1201 COLISEUM DR",
"SecondLineMailingAddress": "BOX 870393",
"MailingAddressCityName": "TUSCALOOSA",
"MailingAddressStateName": "AL",
"MailingAddressPostalCode": "35487-0001",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": null,
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1201 COLISEUM DR",
"SecondLinePracticeLocationAddress": "BOX 870393",
"PracticeLocationAddressCityName": "TUSCALOOSA",
"PracticeLocationAddressStateName": "AL",
"PracticeLocationAddressPostalCode": "35487-0001",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "205-348-3607",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "02/15/2010",
"LastUpdateDate": "02/15/2010",
"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": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "999",
"LicenseNumberStateCode": "AL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}