{
"Npi": {
"NPI": "1912137084",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DENNIS W. REMINGTON M.D. ,P.C.",
"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": "1675 N FREEDOM BLVD STE 11E",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PROVO",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84604-6936",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-373-8500",
"MailingAddressFaxNumber": "801-373-3426",
"FirstLinePracticeLocationAddress": "1675 N FREEDOM BLVD STE 11E",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PROVO",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84604-6936",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "801-373-8500",
"PracticeLocationAddressFaxNumber": "801-373-3426",
"EnumerationDate": "07/22/2009",
"LastUpdateDate": "07/22/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "REMINGTON",
"AuthorizedOfficialFirstName": "DENNIS",
"AuthorizedOfficialMiddleName": "W.",
"AuthorizedOfficialTitle": "PHYSICIA",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "801-373-8500",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "1647951205",
"LicenseNumberStateCode": "UT",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}