{
"Npi": {
"NPI": "1942403852",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "HOLL FAMILY CHIROPRACTIC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "7318 HARRISON ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "LAVISTA",
"MailingAddressStateName": "NE",
"MailingAddressPostalCode": "68128-2904",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "402-597-1517",
"MailingAddressFaxNumber": "402-331-7989",
"FirstLinePracticeLocationAddress": "7318 HARRISON ST",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "LAVISTA",
"PracticeLocationAddressStateName": "NE",
"PracticeLocationAddressPostalCode": "68128-2904",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "402-597-1517",
"PracticeLocationAddressFaxNumber": "402-331-7989",
"EnumerationDate": "06/07/2007",
"LastUpdateDate": "04/01/2008",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HOLL",
"AuthorizedOfficialFirstName": "CARY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DC, CSCS",
"AuthorizedOfficialTelephoneNumber": "402-597-1517",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "1220",
"LicenseNumberStateCode": "NE",
"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."
}
}
}
}