{
"Npi": {
"NPI": "1861679078",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DAVID A. VAN AUKER",
"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": "2106 MUSSON RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HOWELL",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48855-9082",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "517-540-6190",
"MailingAddressFaxNumber": "517-540-6191",
"FirstLinePracticeLocationAddress": "2106 MUSSON RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "HOWELL",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48855-9082",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "517-540-6190",
"PracticeLocationAddressFaxNumber": "517-540-6191",
"EnumerationDate": "01/30/2008",
"LastUpdateDate": "06/18/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VAN AUKER",
"AuthorizedOfficialFirstName": "DAVID",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER/PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MA, CP, CCA",
"AuthorizedOfficialTelephoneNumber": "517-540-6190",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "335E00000X",
"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}