{
"Npi": {
"NPI": "1811292360",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DENVER URGENT CARE LLC",
"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": "PO BOX 15430",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LOVES PARK",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "61132-5430",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "815-713-2600",
"MailingAddressFaxNumber": "815-654-8020",
"FirstLinePracticeLocationAddress": "5165 W 72ND AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WESTMINSTER",
"PracticeLocationAddressStateName": "CO",
"PracticeLocationAddressPostalCode": "80030-5137",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "303-645-4770",
"PracticeLocationAddressFaxNumber": "303-645-4880",
"EnumerationDate": "01/13/2011",
"LastUpdateDate": "01/13/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MOORER",
"AuthorizedOfficialFirstName": "LEE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "MD/OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "303-645-4770",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QU0200X",
"TaxonomyName": "Urgent Care Clinic/Center",
"LicenseNumber": "2972001",
"LicenseNumberStateCode": "CO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}