{"npi":"1013188804","type":"NPI-2","status":"active","name":{"display":"Night Boat PLLC","other":[],"organization_name":"NIGHT BOAT PLLC","authorised_official":"Ross Hugues"},"specialty":{"primary_taxonomy":"1223P0221X","primary_taxonomy_description":"Pediatric Dentistry","slug":"pediatric-dentistry","schema_org_specialty":null,"all":[{"code":"1223P0221X","description":"Pediatric Dentistry","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"859 S YELLOWSTONE HWY STE 1202","city":"REXBURG","state":"ID","postal_code":"834406201","country_code":"US","phone":"2085525439","fax":"2085525440"},{"purpose":"MAILING","street_1":"859 S YELLOWSTONE HWY STE 1202","city":"REXBURG","state":"ID","postal_code":"834406201","country_code":"US","phone":"2085525439","fax":"2085525440"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"807793700","state":"ID","issuer":null},{"type_code":"01","label":"Other","value":"6P475","state":"ID","issuer":"BLUECROSS OF IDAHO"},{"type_code":"01","label":"Other","value":"9202516","state":null,"issuer":"MEDICAID - IDAHO SMILES"},{"type_code":"01","label":"Other","value":"000010165079","state":"ID","issuer":"REGENCE BLUESHIELD OF ID"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-03-19","last_updated":"2016-02-12","_meta":{"source":"NPPES","snapshot_date":"2016-02-12","doc_url":"https://findmynpi.com/api"}}