{"npi":"1003224619","type":"NPI-2","status":"active","name":{"display":"Children's Dental Specialty Group LLC","other":[],"organization_name":"CHILDREN'S DENTAL SPECIALTY GROUP LLC","authorised_official":"Veronica Martinez"},"specialty":{"primary_taxonomy":"1223P0221X","primary_taxonomy_description":"Pediatric Dentistry","slug":"pediatric-dentistry","schema_org_specialty":null,"all":[{"code":"1223P0221X","description":"Pediatric Dentistry","primary":false,"state":"AZ","license":"D008464"},{"code":"1223P0221X","description":"Pediatric Dentistry","primary":true,"state":"AZ","license":"D8006"}]},"addresses":[{"purpose":"LOCATION","street_1":"7600 E CAMELBACK RD","city":"SCOTTSDALE","state":"AZ","postal_code":"852512106","country_code":"US","street_2":"SUITE 8","phone":"4802826746","fax":"6026104737"},{"purpose":"MAILING","street_1":"7600 E CAMELBACK RD","city":"SCOTTSDALE","state":"AZ","postal_code":"852512106","country_code":"US","street_2":"SUITE 8","phone":"4802826746"}],"license":{"state":"AZ","number":"D8006"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"719559","state":"AZ","issuer":null},{"type_code":"05","label":"Medicaid","value":"533913","state":"AZ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2014-07-27","last_updated":"2022-11-22","_meta":{"source":"NPPES","snapshot_date":"2022-11-22","doc_url":"https://findmynpi.com/api"}}