{"npi":"1003175233","type":"NPI-1","status":"active","name":{"display":"Matthew Tice MD","other":[],"first":"MATTHEW","last":"TICE","credential":"MD"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"FL","license":"TRN17251"},{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"TX","license":"Q8371"}]},"addresses":[{"purpose":"LOCATION","street_1":"12221 MERIT DR","city":"DALLAS","state":"TX","postal_code":"752512202","country_code":"US","street_2":"SUITE 1500","phone":"2142171911"},{"purpose":"MAILING","street_1":"12221 MERIT DR","city":"DALLAS","state":"TX","postal_code":"752512202","country_code":"US","street_2":"SUITE 1500","phone":"2142171911"}],"license":{"state":"TX","number":"Q8371"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"014953600","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150622002644","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"FL","pac_id":"5092940536"},{"enrlmt_id":"I20160713002155","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"TX","pac_id":"5092940536"},{"enrlmt_id":"I20230817001786","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"GA","pac_id":"5092940536"}]},"enumeration_date":"2012-05-08","last_updated":"2016-11-29","_meta":{"source":"NPPES","snapshot_date":"2016-11-29","doc_url":"https://findmynpi.com/api"}}