{
"Npi": {
"NPI": "1669574141",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KINDSVATER",
"FirstName": "STEVEN",
"MiddleName": "M",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3814 BERGERAC LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OCEAN SPRINGS",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39564-1408",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "228-875-6670",
"MailingAddressFaxNumber": "228-377-2101",
"FirstLinePracticeLocationAddress": "301 FISHER ST",
"SecondLinePracticeLocationAddress": "81ST MDOS / SGOMC",
"PracticeLocationAddressCityName": "KEESLER AFB",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39534-2508",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "228-376-3492",
"PracticeLocationAddressFaxNumber": "228-377-2101",
"EnumerationDate": "09/03/2006",
"LastUpdateDate": "07/08/2007",
"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": "207RI0011X",
"TaxonomyName": "Interventional Cardiology Physician",
"LicenseNumber": "17805",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}