{"result_count":1,"results":[{"addresses":[{"address_1":"1831 S 3RD ST W STE 201","address_purpose":"LOCATION","address_type":"DOM","city":"MISSOULA","country_code":"US","country_name":"United States","fax_number":"406-543-1506","postal_code":"598012454","state":"MT","telephone_number":"406-543-1955"},{"address_1":"1831 SOUTH 3RD ST WEST","address_2":"STE 201","address_purpose":"MAILING","address_type":"DOM","city":"MISSOULA","country_code":"US","country_name":"United States","fax_number":"406-543-1506","postal_code":"598012454","state":"MT","telephone_number":"406-543-1955"}],"basic":{"authorized_official_first_name":"JEANIE","authorized_official_last_name":"TRIPP","authorized_official_middle_name":"A","authorized_official_name_prefix":"--","authorized_official_name_suffix":"--","authorized_official_telephone_number":"4065431955","authorized_official_title_or_position":"Office Coordinator","certification_date":"2025-06-11","enumeration_date":"2006-06-19","last_updated":"2025-06-11","organization_name":"WATERS EDGE CHIROPRACTIC AND WELLNESS CENTER INC","organizational_subpart":"NO","status":"A"},"created_epoch":"1150734472000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"01","desc":"Other (non-Medicare)","identifier":"000040923","issuer":"BCBS #","state":"MT"},{"code":"05","desc":"MEDICAID","identifier":"0166260","issuer":null,"state":"MT"},{"code":"05","desc":"MEDICAID","identifier":"0166270","issuer":null,"state":"MT"},{"code":"01","desc":"Other (non-Medicare)","identifier":"1871546556","issuer":"Individual NPI #","state":"MT"},{"code":"01","desc":"Other (non-Medicare)","identifier":"807199700","issuer":"Idaho Medicaid #","state":"ID"}],"last_updated_epoch":"1749660445000","number":"1164467486","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"111N00000X","desc":"Chiropractor","license":"1047","primary":true,"state":"MT","taxonomy_group":"193400000X - Single Specialty Group"}]}]}