{
"Npi": {
"NPI": "1730204181",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "FARRAR",
"FirstName": "RAYMOND",
"MiddleName": "J",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "FARRAR",
"OtherFirstName": "RAYMOND",
"OtherMiddleName": "J",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "DPM",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "29840 HARPER AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAINT CLAIR SHORES",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48082-2608",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "586-294-7250",
"MailingAddressFaxNumber": "586-294-7251",
"FirstLinePracticeLocationAddress": "29840 HARPER AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAINT CLAIR SHORES",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48082-2608",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "586-294-7250",
"PracticeLocationAddressFaxNumber": "586-294-7251",
"EnumerationDate": "03/21/2007",
"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": "213ES0103X",
"TaxonomyName": "Foot & Ankle Surgery Podiatrist",
"LicenseNumber": "0591",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}