{
"Npi": {
"NPI": "1760613145",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "VOLZKE CHIROPRACTIC, P.C.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1265 S COTNER BLVD",
"SecondLineMailingAddress": "26",
"MailingAddressCityName": "LINCOLN",
"MailingAddressStateName": "NE",
"MailingAddressPostalCode": "68510-4975",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "402-325-0170",
"MailingAddressFaxNumber": "402-325-0173",
"FirstLinePracticeLocationAddress": "1265 S COTNER BLVD",
"SecondLinePracticeLocationAddress": "26",
"PracticeLocationAddressCityName": "LINCOLN",
"PracticeLocationAddressStateName": "NE",
"PracticeLocationAddressPostalCode": "68510-4975",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "402-325-0170",
"PracticeLocationAddressFaxNumber": "402-325-0173",
"EnumerationDate": "08/03/2009",
"LastUpdateDate": "03/09/2023",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "VOLZKE",
"AuthorizedOfficialFirstName": "CRAIG",
"AuthorizedOfficialMiddleName": "MICHAEL",
"AuthorizedOfficialTitle": "PRESIDENT/OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "D.C.",
"AuthorizedOfficialTelephoneNumber": "402-325-0170",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261Q00000X",
"TaxonomyName": "Clinic/Center",
"LicenseNumber": "1452",
"LicenseNumberStateCode": "NE",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}