{"npi":"1003069014","type":"NPI-2","status":"active","name":{"display":"Dermatology Specialists Of Canton, PLLC","other":[],"organization_name":"DERMATOLOGY SPECIALISTS OF CANTON, PLLC","authorised_official":"Iltefat Hamzavi"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"MI","license":"4301067985"}]},"addresses":[{"purpose":"LOCATION","street_1":"285 N LILLEY RD","city":"CANTON","state":"MI","postal_code":"481873907","country_code":"US","phone":"7344951506","fax":"7344951780"},{"purpose":"MAILING","street_1":"43151 DALCOMA DRIVE","city":"CLINTON TOWNSHIP","state":"MI","postal_code":"48038","country_code":"US","street_2":"SUITE 6","phone":"5862868720","fax":"8667906803"}],"license":{"state":"MI","number":"4301067985"},"identifiers":[{"type_code":"01","label":"Other","value":"DO8072","state":"MI","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090330000584","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MI","pac_id":"6507923976"}]},"enumeration_date":"2008-11-04","last_updated":"2011-03-15","_meta":{"source":"NPPES","snapshot_date":"2011-03-15","doc_url":"https://findmynpi.com/api"}}