{"npi":"1194711804","type":"NPI-1","status":"active","name":{"display":"Dr. Michael Sullivan Dc","other":[],"first":"MICHAEL","last":"SULLIVAN","middle":"DOUGLAS","credential":"DC"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"NC","license":"2832"}]},"addresses":[{"purpose":"LOCATION","street_1":"2315 W ARBORS DR STE 208A","city":"CHARLOTTE","state":"NC","postal_code":"282622577","country_code":"US","phone":"7045471800","fax":"7045471611"},{"purpose":"MAILING","street_1":"2315 W ARBORS DR STE 208A","city":"CHARLOTTE","state":"NC","postal_code":"282622577","country_code":"US","phone":"7045471800","fax":"7045471611"}],"license":{"state":"NC","number":"2832"},"identifiers":[{"type_code":"01","label":"Other","value":"0844X","state":"NC","issuer":"BCBS"},{"type_code":"01","label":"Other","value":"618994","state":"NC","issuer":"ACN"},{"type_code":"01","label":"Other","value":"7998160","state":"NC","issuer":"AETNA-INDIVIDUAL"},{"type_code":"01","label":"Other","value":"0194L","state":"NC","issuer":"CNC/BCBS-GROUP"},{"type_code":"05","label":"Medicaid","value":"890844X","state":"NC","issuer":null},{"type_code":"01","label":"Other","value":"3002130","state":"NC","issuer":"AETNA HMO-SULLIVAN FAMILY"},{"type_code":"01","label":"Other","value":"7386420","state":"NC","issuer":"AETNA-SULLIVAN FAMILY CHI"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100812000931","type_code":"14-35","type_desc":"PRACTITIONER - CHIROPRACTIC","state":"NC","pac_id":"6709910722"}]},"enumeration_date":"2005-09-27","last_updated":"2021-06-29","_meta":{"source":"NPPES","snapshot_date":"2021-06-29","doc_url":"https://findmynpi.com/api"}}