{
"Npi": {
"NPI": "1164570800",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BURCHIK",
"FirstName": "JOSEPH",
"MiddleName": null,
"NamePrefix": "MR.",
"NameSuffix": "JR.",
"Credential": "DPL. AC.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "4820 DUSTIN LN",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MADISON",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "53718-4302",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "608-838-0094",
"MailingAddressFaxNumber": "608-838-0094",
"FirstLinePracticeLocationAddress": "6033 MONONA DR",
"SecondLinePracticeLocationAddress": "201",
"PracticeLocationAddressCityName": "MONONA",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "53716-3965",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "608-204-9715",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "01/08/2007",
"LastUpdateDate": "07/08/2007",
"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": "287055",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}