{"npi":"1063469740","type":"NPI-2","status":"active","name":{"display":"Chiropractic Spine Center Iv","other":[],"organization_name":"CHIROPRACTIC SPINE CENTER IV","authorised_official":"Theodore Glazer"},"specialty":{"primary_taxonomy":"111NR0400X","primary_taxonomy_description":"Rehabilitation Chiropractor","slug":"rehabilitation-chiropractor","schema_org_specialty":null,"all":[{"code":"225100000X","description":"Physical Therapist","primary":false,"state":"PA","license":"AJ-007347-L"},{"code":"111NR0400X","description":"Rehabilitation Chiropractor","primary":true,"state":"PA","license":"DC007347L"}]},"addresses":[{"purpose":"LOCATION","street_1":"744 W LANCASTER AVE","city":"WAYNE","state":"PA","postal_code":"190872523","country_code":"US","street_2":"SUITE 105","phone":"6102548200","fax":"6102548263"},{"purpose":"MAILING","street_1":"744 W LANCASTER AVE","city":"WAYNE","state":"PA","postal_code":"190872523","country_code":"US","street_2":"SUITE 105","phone":"6102548200","fax":"6102548263"}],"license":{"state":"PA","number":"DC007347L"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20130110000020","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"PA","pac_id":"7719130301"}]},"enumeration_date":"2006-05-28","last_updated":"2016-06-14","_meta":{"source":"NPPES","snapshot_date":"2016-06-14","doc_url":"https://findmynpi.com/api"}}