{
"Npi": {
"NPI": "1811175656",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GERALD ANAKWENZE",
"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": "1515 N TOWN EAST BLVD",
"SecondLineMailingAddress": "#138-248",
"MailingAddressCityName": "MESQUITE",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75150-4157",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "310-529-4823",
"MailingAddressFaxNumber": "310-872-5317",
"FirstLinePracticeLocationAddress": "15330 LBJ FWY",
"SecondLinePracticeLocationAddress": "#1061",
"PracticeLocationAddressCityName": "MESQUITE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "75150-1223",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "310-529-4823",
"PracticeLocationAddressFaxNumber": "310-872-5317",
"EnumerationDate": "02/04/2008",
"LastUpdateDate": "03/11/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ANAKWENZE",
"AuthorizedOfficialFirstName": "GERALD",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "310-529-4823",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "341600000X",
"TaxonomyName": "Ambulance",
"LicenseNumber": "1000093",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}