{"npi":"1245574367","type":"NPI-2","status":"active","name":{"display":"St. Louis Optimal Performance, LLC","other":[],"organization_name":"ST. LOUIS OPTIMAL PERFORMANCE, LLC","authorised_official":"Brian Laiderman"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"MO","license":"2012014238"}]},"addresses":[{"purpose":"LOCATION","street_1":"219 CHESTERFIELD TOWNE CTR","city":"CHESTERFIELD","state":"MO","postal_code":"630051257","country_code":"US","phone":"6367789997","fax":"6367789994"},{"purpose":"MAILING","street_1":"219 CHESTERFIELD TOWNE CTR","city":"CHESTERFIELD","state":"MO","postal_code":"630051257","country_code":"US","phone":"6367789997","fax":"6367789994"}],"license":{"state":"MO","number":"2012014238"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20130814000433","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MO","pac_id":"7517106008"}]},"enumeration_date":"2012-11-15","last_updated":"2013-07-02","_meta":{"source":"NPPES","snapshot_date":"2013-07-02","doc_url":"https://findmynpi.com/api"}}