{
"Npi": {
"NPI": "1043484942",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "LANE-BRUNJES",
"FirstName": "ASHLEY",
"MiddleName": "LAUREN",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.C.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "117 FRONT ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LABADIE",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63055-1236",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "636-742-3733",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "108 FRONT STREET",
"SecondLinePracticeLocationAddress": "SUITE 101",
"PracticeLocationAddressCityName": "LABADIE",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "63055-1301",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "636-742-3733",
"PracticeLocationAddressFaxNumber": "636-742-3633",
"EnumerationDate": "04/22/2008",
"LastUpdateDate": "09/09/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "111NP0017X",
"TaxonomyName": "Pediatric Chiropractor",
"LicenseNumber": "2008010491",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "111NS0005X",
"TaxonomyName": "Sports Physician Chiropractor",
"LicenseNumber": "2008010491",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "2008010491",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}