{"npi":"1184783458","type":"NPI-1","status":"active","name":{"display":"Dr. Jeremiah Bursch D.C.","other":[],"first":"JEREMIAH","last":"BURSCH","middle":"LUKE","credential":"D.C."},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"MN","license":"4107"}]},"addresses":[{"purpose":"LOCATION","street_1":"12 2ND AVE S","city":"SAUK RAPIDS","state":"MN","postal_code":"563791408","country_code":"US","phone":"3202576008","fax":"3202576009"},{"purpose":"MAILING","street_1":"12 2ND AVE S","city":"SAUK RAPIDS","state":"MN","postal_code":"563791408","country_code":"US","phone":"3202576008","fax":"3202576009"}],"license":{"state":"MN","number":"4107"},"identifiers":[{"type_code":"01","label":"Other","value":"618536","state":"MN","issuer":"CHIROCARE PROVIDER NUMBER"},{"type_code":"05","label":"Medicaid","value":"235764000","state":"MN","issuer":null},{"type_code":"01","label":"Other","value":"P00119927","state":"MN","issuer":"RAILROAD MEDICARE PROVIDE"},{"type_code":"01","label":"Other","value":"831S1BU","state":"MN","issuer":"BCBS PROVIDER NUMBER"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040430000622","type_code":"14-35","type_desc":"PRACTITIONER - CHIROPRACTIC","state":"MN","pac_id":"9638166580"}]},"enumeration_date":"2006-12-06","last_updated":"2013-12-30","_meta":{"source":"NPPES","snapshot_date":"2013-12-30","doc_url":"https://findmynpi.com/api"}}