{
"Npi": {
"NPI": "1437581022",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KLICK",
"FirstName": "DANIELLE",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.C.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "HARGREAVES",
"OtherFirstName": "DANIELLE",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": "1",
"FirstLineMailingAddress": "8654 POPLAR BRIDGE CURV",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BLOOMINGTON",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55437-1441",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "612-481-4457",
"MailingAddressFaxNumber": "952-516-5175",
"FirstLinePracticeLocationAddress": "4444 W 76TH ST",
"SecondLinePracticeLocationAddress": "SUITE 300",
"PracticeLocationAddressCityName": "EDINA",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55435-5173",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "612-481-4457",
"PracticeLocationAddressFaxNumber": "952-516-5175",
"EnumerationDate": "08/06/2013",
"LastUpdateDate": "01/06/2014",
"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": "5764",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}