{"npi":"1932249869","type":"NPI-2","status":"active","name":{"display":"Burt Clinic Of Chiropractic PC","other":[],"organization_name":"BURT CLINIC OF CHIROPRACTIC PC","authorised_official":"Mickey Burt"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"IA","license":"04377"}]},"addresses":[{"purpose":"LOCATION","street_1":"790 N MAIN ST","city":"WALCOTT","state":"IA","postal_code":"527739505","country_code":"US","phone":"5632846927","fax":"5632846398"},{"purpose":"MAILING","street_1":"PO BOX 790","city":"WALCOTT","state":"IA","postal_code":"527730790","country_code":"US","street_2":"790 N MAIN ST","phone":"5632846927","fax":"5632846398"}],"license":{"state":"IA","number":"04377"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0122689","state":"IA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040322000516","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IA","pac_id":"6507757473"}]},"enumeration_date":"2007-02-08","last_updated":"2013-01-10","_meta":{"source":"NPPES","snapshot_date":"2013-01-10","doc_url":"https://findmynpi.com/api"}}