{
"Npi": {
"NPI": "1811170749",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HAROLD KIM JONES DPM PC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "75 N 200 W",
"SecondLineMailingAddress": "#1",
"MailingAddressCityName": "VERNAL",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84078-2001",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "435-789-2062",
"MailingAddressFaxNumber": "435-789-2063",
"FirstLinePracticeLocationAddress": "75 N 200 W",
"SecondLinePracticeLocationAddress": "#1",
"PracticeLocationAddressCityName": "VERNAL",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84078-2001",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "435-789-2062",
"PracticeLocationAddressFaxNumber": "435-789-2063",
"EnumerationDate": "12/13/2007",
"LastUpdateDate": "03/09/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JONES",
"AuthorizedOfficialFirstName": "HAROLD",
"AuthorizedOfficialMiddleName": "KIM",
"AuthorizedOfficialTitle": "PC",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DPM",
"AuthorizedOfficialTelephoneNumber": "435-789-2062",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "335E00000X",
"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": "1066250501",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}