{
"Npi": {
"NPI": "1831776699",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "CORNELL",
"FirstName": "CHRISTOPHER",
"MiddleName": "JA",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DO, MS, ATC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "47-567 ALAWIKI ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "KANEOHE",
"MailingAddressStateName": "HI",
"MailingAddressPostalCode": "96744-4684",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "808-393-3228",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "47-567 ALAWIKI ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KANEOHE",
"PracticeLocationAddressStateName": "HI",
"PracticeLocationAddressPostalCode": "96744-4684",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "727-384-1414",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "03/26/2021",
"LastUpdateDate": "08/30/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "7812",
"LicenseNumberStateCode": "OK",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "208D00000X",
"TaxonomyName": "General Practice Physician",
"LicenseNumber": "DOS-2325-0",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}