{
"Npi": {
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"EIN": null,
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"IsOrgSubpart": "N",
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"OrgName": "WELLNESS WAY CHIROPRACTIC",
"LastName": null,
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"NamePrefix": null,
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"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "N83W13600 FOND DU LAC AVE",
"SecondLineMailingAddress": "UNIT #221",
"MailingAddressCityName": "MENOMONEE FALLS",
"MailingAddressStateName": "WI",
"MailingAddressPostalCode": "53051-8104",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "262-384-0064",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "10335 W OKLAHOMA AVE",
"SecondLinePracticeLocationAddress": "SUITE 202",
"PracticeLocationAddressCityName": "MILWAUKEE",
"PracticeLocationAddressStateName": "WI",
"PracticeLocationAddressPostalCode": "53227-4100",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "262-384-0064",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "12/10/2012",
"LastUpdateDate": "12/10/2012",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WAY",
"AuthorizedOfficialFirstName": "LINSAY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "262-384-0064",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "4716-012",
"LicenseNumberStateCode": "WI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}