{
"Npi": {
"NPI": "1689790149",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DIMOVSKI CHIROPRACTIC P.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
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"OtherLastName": null,
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"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "8023 GRAND RIVER RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BRIGHTON",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "48114-9392",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "810-229-4179",
"MailingAddressFaxNumber": "810-229-4177",
"FirstLinePracticeLocationAddress": "8023 GRAND RIVER RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BRIGHTON",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "48114-9392",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "810-229-4179",
"PracticeLocationAddressFaxNumber": "810-229-4177",
"EnumerationDate": "03/22/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "DIMOVSKI",
"AuthorizedOfficialFirstName": "NEBOJSA",
"AuthorizedOfficialMiddleName": "NICK",
"AuthorizedOfficialTitle": "DIRECTOR",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "248-880-2033",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "2301008278",
"LicenseNumberStateCode": "MI",
"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."
}
}
}
}