{"npi":"1013192913","type":"NPI-2","status":"active","name":{"display":"Spencer G Wilson DDS PC","other":[],"organization_name":"SPENCER G WILSON DDS PC","authorised_official":"Spencer Wilson"},"specialty":{"primary_taxonomy":"1223S0112X","primary_taxonomy_description":"Oral and Maxillofacial Surgery (Dentist)","slug":"oral-and-maxillofacial-surgery-dentist","schema_org_specialty":null,"all":[{"code":"1223S0112X","description":"Oral and Maxillofacial Surgery (Dentist)","primary":true,"state":"AZ","license":"D0020739"}]},"addresses":[{"purpose":"LOCATION","street_1":"1355 S HIGLEY RD STE 106","city":"GILBERT","state":"AZ","postal_code":"852964799","country_code":"US","phone":"4802795949","fax":"4802790784"},{"purpose":"MAILING","street_1":"1355 S HIGLEY RD STE 106","city":"GILBERT","state":"AZ","postal_code":"852964799","country_code":"US","phone":"4802795949"}],"license":{"state":"AZ","number":"D0020739"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"502262","state":"AZ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-01-09","last_updated":"2008-01-09","_meta":{"source":"NPPES","snapshot_date":"2008-01-09","doc_url":"https://findmynpi.com/api"}}