{"npi":"1356178271","type":"NPI-2","status":"active","name":{"display":"Form X Function Wellness, LLC","other":[],"organization_name":"FORM X FUNCTION WELLNESS, LLC","authorised_official":"Joseph Pelicano"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"6 SEVIER ST","city":"GREENVILLE","state":"SC","postal_code":"29605","country_code":"US","phone":"8642146163"},{"purpose":"MAILING","street_1":"420 PEACH GROVE PL","city":"MAULDIN","state":"SC","postal_code":"296623406","country_code":"US","phone":"8642934213"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2024-09-16","last_updated":"2024-09-16","_meta":{"source":"NPPES","snapshot_date":"2024-09-16","doc_url":"https://findmynpi.com/api"}}