{
"Npi": {
"NPI": "1992131049",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ARM SPECIALISTS, LLC",
"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": "7230 ARBUCKLE CMNS # 178",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BROWNSBURG",
"MailingAddressStateName": "IN",
"MailingAddressPostalCode": "46112-1791",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "812-234-0979",
"MailingAddressFaxNumber": "812-232-6335",
"FirstLinePracticeLocationAddress": "7230 ARBUCKLE CMNS # 178",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BROWNSBURG",
"PracticeLocationAddressStateName": "IN",
"PracticeLocationAddressPostalCode": "46112-1791",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "812-234-0979",
"PracticeLocationAddressFaxNumber": "812-232-6335",
"EnumerationDate": "09/20/2013",
"LastUpdateDate": "01/17/2022",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOLLISTER",
"AuthorizedOfficialFirstName": "JONI",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DIRECTOR OF OPERATIONS",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "317-456-2764",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "174400000X",
"TaxonomyName": "Specialist",
"LicenseNumber": "01065672",
"LicenseNumberStateCode": "IN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}