{"npi":"1437877321","type":"NPI-2","status":"active","name":{"display":"Dr. Michael D. Rae, Dc, PLLC","other":[],"organization_name":"DR. MICHAEL D. RAE, DC, PLLC","authorised_official":"Michael Rae"},"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":"1843 S BROADWAY AVE STE 203A","city":"BOISE","state":"ID","postal_code":"837063862","country_code":"US","phone":"2089853233"},{"purpose":"MAILING","street_1":"1729 S GRANT AVE","city":"BOISE","state":"ID","postal_code":"837063529","country_code":"US","phone":"2089853233"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"CHIA-1332","state":"ID","issuer":"IDAHO STATE BOARD OF CHIROPRACTIC PHYSICIAN'S"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20230109001041","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"ID","pac_id":"3678943644"}]},"enumeration_date":"2022-08-17","last_updated":"2023-06-22","_meta":{"source":"NPPES","snapshot_date":"2023-06-22","doc_url":"https://findmynpi.com/api"}}