{
"Npi": {
"NPI": "1922359520",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "DAVIS",
"FirstName": "ERIN-ELIZABETH",
"MiddleName": "MACCARRY",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "DC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MACCARRY",
"OtherFirstName": "ERIN",
"OtherMiddleName": "E",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "DC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "15520 ROCKFIELD BLVD STE A200",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "IRVINE",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "92618-6705",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "949-598-9999",
"MailingAddressFaxNumber": "949-598-9990",
"FirstLinePracticeLocationAddress": "591 TAHOE KEYS BLVD STE D3",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SOUTH LAKE TAHOE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "96150-3359",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "530-577-4757",
"PracticeLocationAddressFaxNumber": "530-600-2187",
"EnumerationDate": "09/24/2012",
"LastUpdateDate": "08/27/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "111NP0017X",
"TaxonomyName": "Pediatric Chiropractor",
"LicenseNumber": "32423",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "111NR0200X",
"TaxonomyName": "Radiology Chiropractor",
"LicenseNumber": "32423",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "32423",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}