{
"Npi": {
"NPI": "1902003916",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "REVELATIONS CHIROPRACTIC, INC.",
"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": "1212 S AIR DEPOT BLVD",
"SecondLineMailingAddress": "SUITE 31",
"MailingAddressCityName": "MIDWEST CITY",
"MailingAddressStateName": "OK",
"MailingAddressPostalCode": "73110-4870",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "405-736-6850",
"MailingAddressFaxNumber": "405-736-6823",
"FirstLinePracticeLocationAddress": "1212 S AIR DEPOT BLVD",
"SecondLinePracticeLocationAddress": "SUITE 31",
"PracticeLocationAddressCityName": "MIDWEST CITY",
"PracticeLocationAddressStateName": "OK",
"PracticeLocationAddressPostalCode": "73110-4870",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "405-736-6850",
"PracticeLocationAddressFaxNumber": "405-736-6823",
"EnumerationDate": "07/02/2007",
"LastUpdateDate": "02/03/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MONDEN",
"AuthorizedOfficialFirstName": "CHRIS",
"AuthorizedOfficialMiddleName": "M",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "405-736-6850",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "3698",
"LicenseNumberStateCode": "OK",
"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."
}
}
}
}