{
"Npi": {
"NPI": "1821876970",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "OSBORN",
"FirstName": "CALEB",
"MiddleName": "JOHN",
"NamePrefix": null,
"NameSuffix": null,
"Credential": "DC",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "22120 MIDLAND DR STE 1",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SHAWNEE",
"MailingAddressStateName": "KS",
"MailingAddressPostalCode": "66226-3554",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "913-745-4064",
"MailingAddressFaxNumber": "913-745-4352",
"FirstLinePracticeLocationAddress": "1860 N CHURCH RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LIBERTY",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "64068-7179",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "816-368-8226",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/19/2023",
"LastUpdateDate": "10/02/2024",
"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": "2023038410",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}