{
"Npi": {
"NPI": "1720562838",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "NGUYEN",
"FirstName": "MINH DAO",
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": "DC, L. AC, DIPL. OM",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "NGUYEN",
"OtherFirstName": "MINH DAO",
"OtherMiddleName": null,
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "DC, L. AC, DIPL. OM",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "2-30 30TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FAIR LAWN",
"MailingAddressStateName": "NJ",
"MailingAddressPostalCode": "07410-3944",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "201-790-6986",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "53 PASSAIC ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GARFIELD",
"PracticeLocationAddressStateName": "NJ",
"PracticeLocationAddressPostalCode": "07026-3134",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "973-894-3346",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/24/2018",
"LastUpdateDate": "12/04/2022",
"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": "171100000X",
"TaxonomyName": "Acupuncturist",
"LicenseNumber": "25MZ00133400",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "38MC00755100",
"LicenseNumberStateCode": "NJ",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": [
{
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
},
{
"HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
]
}
}
}