{"npi":"1710974779","type":"NPI-2","status":"active","name":{"display":"J R Willis Dc PC","other":[],"organization_name":"J R WILLIS DC PC","authorised_official":"Lee Willis"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":false,"state":"VA","license":"0104001278"},{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"WV","license":"589"}]},"addresses":[{"purpose":"LOCATION","street_1":"1512 N WALKER ST","city":"PRINCETON","state":"WV","postal_code":"247402639","country_code":"US","phone":"3044878985","fax":"3044251680"},{"purpose":"MAILING","street_1":"570 E MAIN ST","city":"WYTHEVILLE","state":"VA","postal_code":"243822033","country_code":"US","phone":"2762283883","fax":"2762231357"}],"license":{"state":"WV","number":"589"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0131755000","state":"WV","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-10-04","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}