{
"Npi": {
"NPI": "1770750945",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SUSHIL B. CHOKSHI, M.D., P.A.",
"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": "217 W BELKNAP ST",
"SecondLineMailingAddress": "P.O. BOX 487",
"MailingAddressCityName": "JACKSBORO",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76458-2307",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "940-567-2101",
"MailingAddressFaxNumber": "940-567-5522",
"FirstLinePracticeLocationAddress": "217 W BELKNAP ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "JACKSBORO",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76458-2307",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "940-567-2101",
"PracticeLocationAddressFaxNumber": "940-567-5522",
"EnumerationDate": "05/15/2008",
"LastUpdateDate": "05/15/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "CHOKSHI",
"AuthorizedOfficialFirstName": "SUSHIL",
"AuthorizedOfficialMiddleName": "B.",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "940-567-2101",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "F5865",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}