{
"Npi": {
"NPI": "1972054898",
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"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NEW HEALTH CHIROPRACTIC CENTER INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
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"OtherFirstName": null,
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"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1849 WILLOW PASS RD",
"SecondLineMailingAddress": "STE 450",
"MailingAddressCityName": "CONCORD",
"MailingAddressStateName": "CA",
"MailingAddressPostalCode": "94520",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "925-566-8881",
"MailingAddressFaxNumber": "925-566-8889",
"FirstLinePracticeLocationAddress": "4180 TREAT BLVD",
"SecondLinePracticeLocationAddress": "STE J",
"PracticeLocationAddressCityName": "CONCORD",
"PracticeLocationAddressStateName": "CA",
"PracticeLocationAddressPostalCode": "94518-1858",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "925-566-8881",
"PracticeLocationAddressFaxNumber": "925-566-8889",
"EnumerationDate": "10/14/2016",
"LastUpdateDate": "08/23/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "WOLF",
"AuthorizedOfficialFirstName": "TOMMY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "DC",
"AuthorizedOfficialTelephoneNumber": "925-566-8881",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "111N00000X",
"TaxonomyName": "Chiropractor",
"LicenseNumber": "32493",
"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."
}
}
}
}