{
"Npi": {
"NPI": "1982893012",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MORSE K UPSHAW DPM INC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
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"OtherNamePrefix": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2142 S FREMONT AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "ALHAMBRA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "91803-4315",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "626-289-1080",
"MailingAddressFaxNumber": "626-289-1204",
"FirstLinePracticeLocationAddress": "2142 S FREMONT AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ALHAMBRA",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "91803-4315",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "626-289-1080",
"PracticeLocationAddressFaxNumber": "626-289-1204",
"EnumerationDate": "10/15/2007",
"LastUpdateDate": "02/27/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "UPSHAW",
"AuthorizedOfficialFirstName": "MORSE",
"AuthorizedOfficialMiddleName": "KILBURN",
"AuthorizedOfficialTitle": "CORP. PRESIDENT/PODIATRIST",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.P.M.",
"AuthorizedOfficialTelephoneNumber": "626-289-1080",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "213ES0131X",
"TaxonomyName": "Foot Surgery Podiatrist",
"LicenseNumber": "E2383",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "213EP1101X",
"TaxonomyName": "Primary Podiatric Medicine Podiatrist",
"LicenseNumber": "E2383",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": [
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
},
{
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
]
}
}
}