{"npi":"1376725911","type":"NPI-2","status":"active","name":{"display":"Back 2 Life Chiropractic, Psc","other":[],"organization_name":"BACK 2 LIFE CHIROPRACTIC, PSC","authorised_official":"Ryan Bond"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"KY","license":"4716"}]},"addresses":[{"purpose":"LOCATION","street_1":"104 LAWSON DR","city":"GEORGETOWN","state":"KY","postal_code":"403248998","country_code":"US","street_2":"SUITE 107","phone":"5028670089","fax":"5028670180"},{"purpose":"MAILING","street_1":"104 LAWSON DR","city":"GEORGETOWN","state":"KY","postal_code":"403248998","country_code":"US","street_2":"SUITE 107","phone":"5028670089","fax":"5028670180"}],"license":{"state":"KY","number":"4716"},"identifiers":[{"type_code":"01","label":"Other","value":"000000227300","state":"KY","issuer":"BLUECROSS BLUESHIELD"},{"type_code":"01","label":"Other","value":"111N0000X","state":"KY","issuer":"TAXONOMY"},{"type_code":"01","label":"Other","value":"645717","state":"KY","issuer":"UHC"},{"type_code":"05","label":"Medicaid","value":"8500227","state":"KY","issuer":null},{"type_code":"01","label":"Other","value":"7197394","state":"KY","issuer":"AETNA"},{"type_code":"01","label":"Other","value":"1196909","state":"KY","issuer":"CHA"},{"type_code":"01","label":"Other","value":"7187","state":"KY","issuer":"MEDICARE GROUP"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-12-05","last_updated":"2011-03-10","_meta":{"source":"NPPES","snapshot_date":"2011-03-10","doc_url":"https://findmynpi.com/api"}}