{"npi":"1780724070","type":"NPI-2","status":"active","name":{"display":"Domenick PLLC","other":[],"organization_name":"DOMENICK PLLC","authorised_official":"Wayne Domenick"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"MI","license":"2301008818"}]},"addresses":[{"purpose":"LOCATION","street_1":"4085 S CENTER RD","city":"BURTON","state":"MI","postal_code":"485191957","country_code":"US","phone":"8107444251","fax":"8107441039"},{"purpose":"MAILING","street_1":"4085 S CENTER RD","city":"BURTON","state":"MI","postal_code":"485191957","country_code":"US","phone":"8107444251","fax":"8107441039"}],"license":{"state":"MI","number":"2301008818"},"identifiers":[{"type_code":"01","label":"Other","value":"950B514920","state":"MI","issuer":"BCBSM"},{"type_code":"01","label":"Other","value":"950B518000","state":"MI","issuer":"BCBSM"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20070427000551","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MI","pac_id":"3476659012"}]},"enumeration_date":"2007-02-07","last_updated":"2008-08-07","_meta":{"source":"NPPES","snapshot_date":"2008-08-07","doc_url":"https://findmynpi.com/api"}}