{
"Npi": {
"NPI": "1275685257",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "ADVANCEMENTS IN CHIROPRACTIC",
"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": "11689 MILLPOND AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BURNSVILLE",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55337-7251",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "651-233-3738",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2020 SILVER BELL RD",
"SecondLinePracticeLocationAddress": "SUITE #2",
"PracticeLocationAddressCityName": "EAGAN",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55122-1050",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "651-233-3738",
"PracticeLocationAddressFaxNumber": "651-452-5910",
"EnumerationDate": "01/18/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JAKUBOWSKI",
"AuthorizedOfficialFirstName": "LUKE",
"AuthorizedOfficialMiddleName": "MATTHEW",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "651-233-3738",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "4802",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}