{
"Npi": {
"NPI": "1679864029",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "THOMPSON FAMILY CHIROPRACTIC AND WELLNESS CENTER P.C.",
"ParentOrgTIN": null,
"OrgName": "THOMPSON MASSAGE SERVICE",
"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": "208 GRANT ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NILES",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49120-2202",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "269-684-7822",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "208 GRANT ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "NILES",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49120-2202",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "269-684-7822",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/20/2011",
"LastUpdateDate": "04/20/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "THOMPSON",
"AuthorizedOfficialFirstName": "BEVERLY",
"AuthorizedOfficialMiddleName": "A",
"AuthorizedOfficialTitle": "OFFICE MANAGER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "269-684-7822",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "171W00000X",
"TaxonomyName": "Contractor",
"LicenseNumber": "2301004803",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}