{
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"FirstLineMailingAddress": "9757 WESTPOINT DR STE 500",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "INDIANAPOLIS",
"MailingAddressStateName": "IN",
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"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": "317-813-1997",
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"PracticeLocationAddressCityName": "INDIANAPOLIS",
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"PracticeLocationAddressTelephoneNumber": "317-813-1998",
"PracticeLocationAddressFaxNumber": "317-813-1997",
"EnumerationDate": "01/10/2008",
"LastUpdateDate": "09/28/2018",
"NPIDeactivationReasonCode": null,
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"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ZIMMER",
"AuthorizedOfficialFirstName": "EDWARD",
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"AuthorizedOfficialCredential": "M.S., D.C.",
"AuthorizedOfficialTelephoneNumber": "317-813-1998",
"Taxonomies": {
"Taxonomy": [
{
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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{
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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."
},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
]
}
}
}