{
"Npi": {
"NPI": "1013405265",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SPRUCE PINE CHIROPRACTIC, PLLC",
"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": "31 CROSS ST STE 266",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPRUCE PINE",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "28777-6160",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "828-520-1800",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "31 CROSS STREET",
"SecondLinePracticeLocationAddress": "SUITE 266",
"PracticeLocationAddressCityName": "SPRUCE PINE",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "28777",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "828-520-1800",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "04/24/2018",
"LastUpdateDate": "04/24/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WARD",
"AuthorizedOfficialFirstName": "JONATHAN",
"AuthorizedOfficialMiddleName": "QUINN",
"AuthorizedOfficialTitle": "OWNER/DOCTOR OF CHIROPRACTIC",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "828-520-1800",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "4882",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}