{
"Npi": {
"NPI": "1821286394",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "Y",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "KAO",
"FirstName": "TOM",
"MiddleName": "M",
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.C., APN",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "KAO-CHEN",
"OtherFirstName": "TOM",
"OtherMiddleName": "M",
"OtherNamePrefix": "DR.",
"OtherNameSuffix": null,
"OtherCredential": "D.C., APN",
"OtherLastNameTypeCode": "5",
"FirstLineMailingAddress": "1006 4TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "FULTON",
"MailingAddressStateName": "IL",
"MailingAddressPostalCode": "61252-1778",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "815-589-4616",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "1006 4TH ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FULTON",
"PracticeLocationAddressStateName": "IL",
"PracticeLocationAddressPostalCode": "61252-1778",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "815-589-4616",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "10/10/2007",
"LastUpdateDate": "04/29/2025",
"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": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "A182619",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": "209031480",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "A05807",
"LicenseNumberStateCode": "IA",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "038007086",
"LicenseNumberStateCode": "IL",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}