{
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"EIN": null,
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"IsOrgSubpart": "N",
"ParentOrgLBN": null,
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"OrgName": "LOGAN J. FRAHM",
"LastName": null,
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"NamePrefix": null,
"NameSuffix": null,
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"FirstLineMailingAddress": "910 CAPITOLA AVE APT 11",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CAPITOLA",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "95010-2121",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "619-887-0179",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "978 E LAKE AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "WATSONVILLE",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "95076-3404",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "831-288-0627",
"PracticeLocationAddressFaxNumber": "831-851-3289",
"EnumerationDate": "07/16/2018",
"LastUpdateDate": "07/16/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "FRAHM",
"AuthorizedOfficialFirstName": "LOGAN",
"AuthorizedOfficialMiddleName": "JAMES",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
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"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "831-288-0627",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "DC-30883",
"LicenseNumberStateCode": "CA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}