{
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"EIN": null,
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"ParentOrgLBN": null,
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"OrgName": "MALTON VENTURES LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
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"FirstLineMailingAddress": "705 BOSTON POST RD",
"SecondLineMailingAddress": "SUITE C8",
"MailingAddressCityName": "GUILFORD",
"MailingAddressStateName": "CT",
"MailingAddressPostalCode": "06437-2732",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "203-533-4316",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "5 DURHAM RD STE A3",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GUILFORD",
"PracticeLocationAddressStateName": "CT",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "203-533-4316",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "07/21/2008",
"LastUpdateDate": "10/19/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MALTON",
"AuthorizedOfficialFirstName": "TIMOTHY",
"AuthorizedOfficialMiddleName": "S",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "203-533-4316",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "001729",
"LicenseNumberStateCode": "CT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}