{
"Npi": {
"NPI": "1366883589",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "SNYDER",
"FirstName": "DANIELLE",
"MiddleName": "NICOLE",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "D.C.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "MATSON",
"OtherFirstName": "DANIELLE",
"OtherMiddleName": "NICOLE",
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "DC",
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "PO BOX 6",
"SecondLineMailingAddress": "411 HAKES STREET",
"MailingAddressCityName": "OAKWOOD",
"MailingAddressStateName": "OH",
"MailingAddressPostalCode": "45873-0006",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "419-594-3378",
"MailingAddressFaxNumber": "419-594-3379",
"FirstLinePracticeLocationAddress": "411 HAKES STREET",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OAKWOOD",
"PracticeLocationAddressStateName": "OH",
"PracticeLocationAddressPostalCode": "45873-0006",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "419-594-3378",
"PracticeLocationAddressFaxNumber": "519-594-3379",
"EnumerationDate": "07/16/2013",
"LastUpdateDate": "01/03/2023",
"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": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "4391",
"LicenseNumberStateCode": "OH",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}