{
"Npi": {
"NPI": "1568697407",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PINNACLE CHIROPRACTIC, PC",
"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": "P.O. BOX 119, 211 WEST HIGHWAY 19",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "MARTINSBURG",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "65264-3027",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "314-974-6676",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "211 W HIGHWAY 19",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "MARTINSBURG",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "65264-2013",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "314-974-6676",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/21/2009",
"LastUpdateDate": "06/01/2009",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SCHAFER",
"AuthorizedOfficialFirstName": "MARIA",
"AuthorizedOfficialMiddleName": "K.",
"AuthorizedOfficialTitle": "PHYSICIAN/ CEO",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "314-974-6676",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "MO2005000400",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X MULTIPLE 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."
}
}
}
}