{
"Npi": {
"NPI": "1396029435",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "SPURLOCK CHIROPRACTIC SPINAL DECOMPRESSION CLINIC, INC",
"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": "1318 GARDEN ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SAN LUIS OBISPO",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "93401-3916",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "805-540-2010",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1318 GARDEN ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SAN LUIS OBISPO",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "93401-3916",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "805-540-2010",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/07/2011",
"LastUpdateDate": "10/07/2011",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SPURLOCK",
"AuthorizedOfficialFirstName": "JAMES",
"AuthorizedOfficialMiddleName": "MADISON",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": "IV",
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "707-223-1682",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "CA28858",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}