{"npi":"1073702007","type":"NPI-2","status":"active","name":{"display":"Neenah Chiropractic & Rehab INC","other":[],"organization_name":"NEENAH CHIROPRACTIC & REHAB INC","authorised_official":"Eric Bogaart"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"WI","license":"4143012"}]},"addresses":[{"purpose":"LOCATION","street_1":"907 TULLAR RD","city":"NEENAH","state":"WI","postal_code":"549563617","country_code":"US","phone":"9207229200","fax":"9207229202"},{"purpose":"MAILING","street_1":"907 TULLAR RD","city":"NEENAH","state":"WI","postal_code":"549563617","country_code":"US","phone":"9207229200","fax":"9207229202"}],"license":{"state":"WI","number":"4143012"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"38964100","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20180109001513","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WI","pac_id":"1355600891"}]},"enumeration_date":"2007-10-16","last_updated":"2018-01-15","_meta":{"source":"NPPES","snapshot_date":"2018-01-15","doc_url":"https://findmynpi.com/api"}}