{"npi":"1043319619","type":"NPI-2","status":"active","name":{"display":"Crossroads Pediatric Dentistry PC","other":[],"organization_name":"CROSSROADS PEDIATRIC DENTISTRY PC","authorised_official":"Michael Bigler"},"specialty":{"primary_taxonomy":"261QD0000X","primary_taxonomy_description":"Dental Clinic/Center","slug":"dental-clinic-center","schema_org_specialty":null,"all":[{"code":"261QD0000X","description":"Dental Clinic/Center","primary":true,"state":"IN","license":"12007759"}]},"addresses":[{"purpose":"LOCATION","street_1":"21781 OMEGA CT","city":"GOSHEN","state":"IN","postal_code":"465287809","country_code":"US","phone":"5748756531","fax":"5748758256"},{"purpose":"MAILING","street_1":"21781 OMEGA CT","city":"GOSHEN","state":"IN","postal_code":"465287809","country_code":"US","phone":"5748756531","fax":"5748758256"}],"license":{"state":"IN","number":"12007759"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100065260","state":"IN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-09-21","last_updated":"2013-02-07","_meta":{"source":"NPPES","snapshot_date":"2013-02-07","doc_url":"https://findmynpi.com/api"}}