{
"Npi": {
"NPI": "1740379908",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MAYO",
"FirstName": "MATTHEW",
"MiddleName": "CLAYTON",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.C.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "5231 E FRONTAGE HWY 52 RD NW",
"SecondLineMailingAddress": "SUITE 201 & 202",
"MailingAddressCityName": "ROCHESTER",
"MailingAddressStateName": "MN",
"MailingAddressPostalCode": "55901-4156",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "507-280-6186",
"MailingAddressFaxNumber": "507-280-7682",
"FirstLinePracticeLocationAddress": "5231 E FRONTAGE HWY 52 RD NW",
"SecondLinePracticeLocationAddress": "SUITE 201 & 202",
"PracticeLocationAddressCityName": "ROCHESTER",
"PracticeLocationAddressStateName": "MN",
"PracticeLocationAddressPostalCode": "55901-4156",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "507-280-6186",
"PracticeLocationAddressFaxNumber": "507-280-7682",
"EnumerationDate": "10/12/2006",
"LastUpdateDate": "07/08/2007",
"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": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "3295",
"LicenseNumberStateCode": "MN",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}