{
"Npi": {
"NPI": "1215124227",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "JKT ENTERPRISES",
"ParentOrgTIN": null,
"OrgName": "JKT ENTERPRISES INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "43 WEST ACORN LANE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAKE IN THE HILLS",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "60156-4804",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "847-854-5356",
"MailingAddressFaxNumber": "847-854-5436",
"FirstLinePracticeLocationAddress": "43 W ACORN LN",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAKE IN THE HILLS",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "60156-4804",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "847-854-5356",
"PracticeLocationAddressFaxNumber": "847-854-5436",
"EnumerationDate": "10/03/2007",
"LastUpdateDate": "08/02/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "TRIVEDI",
"AuthorizedOfficialFirstName": "ALOK",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "DOCTOR OF CHIROPRACTIC",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "847-854-5356",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "302R00000X",
"TaxonomyName": "Health Maintenance Organization",
"LicenseNumber": "038009757",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}