{
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "FOUR POINTS FAMILY CHIROPRACTIC, PLLC",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "10815 FM 2222",
"SecondLineMailingAddress": "3C-100",
"MailingAddressCityName": "AUSTIN",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78730",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "512-345-9355",
"MailingAddressFaxNumber": "512-345-9357",
"FirstLinePracticeLocationAddress": "10815 FM 2222",
"SecondLinePracticeLocationAddress": "3C-100",
"PracticeLocationAddressCityName": "AUSTIN",
"PracticeLocationAddressStateName": "TX",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "512-345-9355",
"PracticeLocationAddressFaxNumber": "512-345-9357",
"EnumerationDate": "05/02/2007",
"LastUpdateDate": "05/28/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COCCIMIGLIO",
"AuthorizedOfficialFirstName": "ROSARIO",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER-OFFICER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "512-345-9355",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "10368",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X 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."
}
}
}
}