{
"Npi": {
"NPI": "1831420785",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SWISS SPINE CLINIC PLLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "3100 NC HIGHWAY 55 STE 204",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CARY",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27519-8427",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "919-589-0909",
"MailingAddressFaxNumber": "919-589-0199",
"FirstLinePracticeLocationAddress": "3100 NC HIGHWAY 55 STE 204",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "CARY",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27519-8427",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "919-589-0909",
"PracticeLocationAddressFaxNumber": "919-589-0199",
"EnumerationDate": "01/15/2010",
"LastUpdateDate": "01/27/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GUGERLI",
"AuthorizedOfficialFirstName": "THOMAS",
"AuthorizedOfficialMiddleName": "HANS",
"AuthorizedOfficialTitle": "OWNER/CLINIC DIRECTOR",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "919-589-0909",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "3955",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}