Physician.FYIAbout
{
  "npi": 1003000415,
  "replacementNpi": null,
  "enumeratedAt": "2007-08-29T07:00:00.000Z",
  "certifiedAt": null,
  "deactivatedAt": null,
  "deactivationReason": null,
  "reactivatedAt": null,
  "prefix": "DR.",
  "firstName": "MARSHALL",
  "middleName": "DEAN",
  "lastName": "WEBSTER",
  "suffix": null,
  "otherNames": [],
  "credentials": [
    "DC"
  ],
  "isSoleProprietor": true,
  "gender": "M",
  "taxonomyCode": "111N00000X",
  "addresses": [
    {
      "address1": "1478 SW SISTERS WELCOME RD",
      "city": "LAKE CITY",
      "country": "US",
      "phoneNumber": "3865901752",
      "purpose": "L",
      "state": "FL",
      "zipCode": "320251607",
      "faxNumber": "3862699676"
    },
    {
      "address1": "1478 SW SISTERS WELCOME RD",
      "city": "LAKE CITY",
      "country": "US",
      "phoneNumber": "3865901752",
      "purpose": "M",
      "state": "FL",
      "zipCode": "320251607",
      "faxNumber": "3862699676"
    }
  ],
  "taxonomyGrouping": "Chiropractic Providers",
  "taxonomy": "Chiropractor",
  "taxonomySpecialization": null,
  "taxonomyDefinition": "A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.",
  "numActions": null,
  "totalPaid": null,
  "openPaymentsId": null,
  "licenses": [
    {
      "nppesLicenseRecordId": 1924229,
      "license": "3177",
      "cleanLicense": null,
      "state": "SC",
      "stateLicenseRecordId": null,
      "firstName": null,
      "middleName": null,
      "lastName": null,
      "suffix": null,
      "professionCode": null,
      "rankCode": null,
      "number": null,
      "addresses": null,
      "email": null,
      "status": null,
      "statusEffectiveAt": null,
      "isActive": null,
      "expiredAt": null,
      "numActions": null,
      "actions": null,
      "profession": null
    },
    {
      "nppesLicenseRecordId": 1924230,
      "license": "CHIR008295",
      "cleanLicense": null,
      "state": "GA",
      "stateLicenseRecordId": null,
      "firstName": null,
      "middleName": null,
      "lastName": null,
      "suffix": null,
      "professionCode": null,
      "rankCode": null,
      "number": null,
      "addresses": null,
      "email": null,
      "status": null,
      "statusEffectiveAt": null,
      "isActive": null,
      "expiredAt": null,
      "numActions": null,
      "actions": null,
      "profession": null
    },
    {
      "nppesLicenseRecordId": 1924231,
      "license": "CH10056",
      "cleanLicense": "CH 10056",
      "state": "FL",
      "stateLicenseRecordId": null,
      "firstName": null,
      "middleName": null,
      "lastName": null,
      "suffix": null,
      "professionCode": null,
      "rankCode": null,
      "number": null,
      "addresses": null,
      "email": null,
      "status": null,
      "statusEffectiveAt": null,
      "isActive": null,
      "expiredAt": null,
      "numActions": null,
      "actions": null,
      "profession": null
    }
  ],
  "hasStateMatch": false
}