{
"Npi": {
"NPI": "1710324561",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AHEAD OF THE GAME",
"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": "PO BOX 2610",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FRISCO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75034-0049",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "214-929-0728",
"MailingAddressFaxNumber": "972-249-2065",
"FirstLinePracticeLocationAddress": "6155 SPORTS VILLAGE RD",
"SecondLinePracticeLocationAddress": "#350",
"PracticeLocationAddressCityName": "FRISCO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75033-3577",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "972-292-7405",
"PracticeLocationAddressFaxNumber": "972-249-2065",
"EnumerationDate": "06/03/2013",
"LastUpdateDate": "06/03/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARDY",
"AuthorizedOfficialFirstName": "GERALD",
"AuthorizedOfficialMiddleName": "JAMES",
"AuthorizedOfficialTitle": "CHIROPRACTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": "JR.",
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "214-929-0728",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "8135",
"LicenseNumberStateCode": "TX",
"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."
}
}
}
}