{
"Npi": {
"NPI": "1306740352",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THE SHOCK DOC 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": "559 W STATE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "PLEASANT GROVE",
"MailingAddressStateName": "UT",
"MailingAddressPostalCode": "84062-2111",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "801-922-4310",
"MailingAddressFaxNumber": "801-701-8850",
"FirstLinePracticeLocationAddress": "559 W STATE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "PLEASANT GROVE",
"PracticeLocationAddressStateName": "UT",
"PracticeLocationAddressPostalCode": "84062-2111",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "801-922-4310",
"PracticeLocationAddressFaxNumber": "801-701-8850",
"EnumerationDate": "10/05/2026",
"LastUpdateDate": "10/05/2026",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KNAPTON",
"AuthorizedOfficialFirstName": "JACOB",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CHIROPRACTOR, OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "801-440-1499",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": null,
"LicenseNumberStateCode": "NULL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}