{"npi":"1073102976","type":"NPI-2","status":"active","name":{"display":"Bethesda Pediatrics Of Queen Creek","other":[],"organization_name":"BETHESDA PEDIATRICS OF QUEEN CREEK","authorised_official":"Stacie Self"},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"130 S 63RD ST","city":"MESA","state":"AZ","postal_code":"852061620","country_code":"US","phone":"4807929200"},{"purpose":"MAILING","street_1":"22707 S ELLSWORTH RD STE H101","city":"QUEEN CREEK","state":"AZ","postal_code":"851427568","country_code":"US"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"538751","state":"AZ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2021-01-14","last_updated":"2021-01-20","_meta":{"source":"NPPES","snapshot_date":"2021-01-20","doc_url":"https://findmynpi.com/api"}}