1467596700 NPI number — MICHAEL DALY DAVID D.C., D.A.C.A.N.

NPI Number: 1467596700
Health Care Provider/Practitioner: MICHAEL DALY DAVID D.C., D.A.C.A.N.

NPI Number : 1467596700 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1467596700",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DAVID",
    "FirstName": "MICHAEL",
    "MiddleName": "DALY",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "D.C., D.A.C.A.N.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1623 US HIGHWAY 1",
    "SecondLineMailingAddress": "SUITE B6",
    "MailingAddressCityName": "SEBASTIAN",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32958-3879",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "772-388-8788",
    "MailingAddressFaxNumber": "772-388-8819",
    "FirstLinePracticeLocationAddress": "1623 US HIGHWAY 1",
    "SecondLinePracticeLocationAddress": "SUITE B6",
    "PracticeLocationAddressCityName": "SEBASTIAN",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32958-3879",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "772-388-8788",
    "PracticeLocationAddressFaxNumber": "772-388-8819",
    "EnumerationDate": "02/19/2007",
    "LastUpdateDate": "03/19/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "111NN0400X",
        "TaxonomyName": "Neurology Chiropractor",
        "LicenseNumber": "CH0003399",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}