{
"Npi": {
"NPI": "1689992166",
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"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DR.JOSEPH J. HODGES PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "PO BOX 2276",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HARBOR",
"MailingAddressStateName": "OR",
"MailingAddressPostalCode": "97415-0309",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "541-469-2276",
"MailingAddressFaxNumber": "541-469-0489",
"FirstLinePracticeLocationAddress": "411 MILL BEACH ROAD",
"SecondLinePracticeLocationAddress": "SUITE A",
"PracticeLocationAddressCityName": "BROOKINGS",
"PracticeLocationAddressStateName": "OR",
"PracticeLocationAddressPostalCode": "97415-0325",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "541-469-2276",
"PracticeLocationAddressFaxNumber": "541-469-0489",
"EnumerationDate": "05/10/2010",
"LastUpdateDate": "05/10/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HODGES",
"AuthorizedOfficialFirstName": "JOSEPH",
"AuthorizedOfficialMiddleName": "JAMES",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "541-469-2276",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111NS0005X",
"TaxonomyName": "Sports Physician Chiropractor",
"LicenseNumber": "2788",
"LicenseNumberStateCode": "OR",
"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."
}
}
}
}