{
  "npi": "1366549586",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "D.C",
    "authorized_official_first_name": "SHAD",
    "authorized_official_last_name": "FOSTER",
    "authorized_official_middle_name": "ALAN",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "4192386686",
    "authorized_official_title_or_position": "Owner",
    "enumeration_date": "2006-09-20",
    "last_updated": "2020-08-22",
    "organization_name": "BACK TO HEALTH, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "10963 VAN WERT DECATUR RD",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "VAN WERT",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "419-238-6201",
      "postal_code": "458919211",
      "state": "OH",
      "telephone_number": "419-238-6686"
    },
    {
      "address_1": "1015 S 11TH ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "DECATUR",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "260-728-4195",
      "postal_code": "467332164",
      "state": "IN",
      "telephone_number": "260-728-4194"
    }
  ],
  "taxonomies": [
    {
      "code": "111N00000X",
      "desc": "Chiropractor",
      "license": "8002146A",
      "primary": false,
      "state": "IN",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "111N00000X",
      "desc": "Chiropractor",
      "license": "08002260A",
      "primary": true,
      "state": "IN",
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Chiropractic Providers — Chiropractor",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "35",
        "medicare_type": "Chiropractic"
      }
    ]
  }
}