{
"Npi": {
"NPI": "1639596091",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "JT DEWITT D.O.P.A.",
"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": "3071 HIGHWAY 34 E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MARMADUKE",
"MailingAddressStateName": "AR",
"MailingAddressPostalCode": "72443-9773",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "870-897-8433",
"MailingAddressFaxNumber": "870-897-8438",
"FirstLinePracticeLocationAddress": "11998 HIGHWAY 49 N",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MARMADUKE",
"PracticeLocationAddressStateName": "AR",
"PracticeLocationAddressPostalCode": "72443-9597",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "870-897-8433",
"PracticeLocationAddressFaxNumber": "870-897-8438",
"EnumerationDate": "03/24/2014",
"LastUpdateDate": "03/24/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DEWITT",
"AuthorizedOfficialFirstName": "JT",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "D.O.",
"AuthorizedOfficialTelephoneNumber": "870-897-8433",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "E4975",
"LicenseNumberStateCode": "AR",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}