{
"Npi": {
"NPI": "1861401994",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BIANCHI",
"FirstName": "ANTHONY",
"MiddleName": "J.",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "DPM",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "WHITE",
"OtherFirstName": "ANTHONY",
"OtherMiddleName": "J",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "3566 CONNIE LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FORT GRATIOT",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48059-4103",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "810-824-1376",
"MailingAddressFaxNumber": "810-294-5049",
"FirstLinePracticeLocationAddress": "3566 CONNIE LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FORT GRATIOT",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48059-4103",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "810-824-1376",
"PracticeLocationAddressFaxNumber": "810-294-5049",
"EnumerationDate": "08/07/2006",
"LastUpdateDate": "10/17/2023",
"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": "213ES0131X",
"TaxonomyName": "Foot Surgery Podiatrist",
"LicenseNumber": "5901001442",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "213E00000X",
"TaxonomyName": "Podiatrist",
"LicenseNumber": "5901001442",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}