{
"Npi": {
"NPI": "1992240626",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MILLER",
"FirstName": "JACKSON",
"MiddleName": "A.",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "MAC, LAC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7907 VALLEY MANOR RD",
"SecondLineMailingAddress": "UNIT F",
"MailingAddressCityName": "OWINGS MILLS",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21117-5335",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "443-604-4157",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6302 FALLS RD",
"SecondLinePracticeLocationAddress": "SUITE C",
"PracticeLocationAddressCityName": "BALTIMORE",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21209-2038",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "443-604-4157",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/04/2017",
"LastUpdateDate": "01/04/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "171100000X",
"TaxonomyName": "Acupuncturist",
"LicenseNumber": "U02388",
"LicenseNumberStateCode": "MD",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}