{
"Npi": {
"NPI": "1639538846",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "STRIPES URGENT CARE, LLC",
"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": "3865 E CHERRY HILL DR",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "QUEEN CREEK",
"MailingAddressStateName": "AZ",
"MailingAddressPostalCode": "85142-3231",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "480-984-5225",
"MailingAddressFaxNumber": "480-984-5447",
"FirstLinePracticeLocationAddress": "6820 S KINGS RANCH RD",
"SecondLinePracticeLocationAddress": "SUITE 130",
"PracticeLocationAddressCityName": "GOLD CANYON",
"PracticeLocationAddressStateName": "AZ",
"PracticeLocationAddressPostalCode": "85118-2935",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "480-246-3411",
"PracticeLocationAddressFaxNumber": "480-984-5447",
"EnumerationDate": "02/16/2016",
"LastUpdateDate": "01/26/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "NWOSU",
"AuthorizedOfficialFirstName": "CHIKWENDU",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "917-474-0025",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}