{"npi":"1073251963","type":"NPI-1","status":"active","name":{"display":"Dr. Angelica Jane Bustos Thacker DMD","other":[],"first":"ANGELICA JANE","last":"BUSTOS THACKER","credential":"DMD"},"specialty":{"primary_taxonomy":"1223G0001X","primary_taxonomy_description":"General Practice Dentistry","slug":"general-practice-dentistry","schema_org_specialty":null,"all":[{"code":"1223G0001X","description":"General Practice Dentistry","primary":true,"state":"NV","license":"7617"}]},"addresses":[{"purpose":"LOCATION","street_1":"7603 GRAND TETON DR STE 140","city":"LAS VEGAS","state":"NV","postal_code":"891311602","country_code":"US","phone":"7029571013"},{"purpose":"MAILING","street_1":"12028 HATHAWAY PINES LN","city":"LAS VEGAS","state":"NV","postal_code":"891384501","country_code":"US","phone":"7028839376"}],"license":{"state":"NV","number":"7617"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240131003357","type_code":"33-C5","type_desc":"ORDER AND REFERRING ONLY - DENTIST","state":"NV","pac_id":"7214380781"}]},"enumeration_date":"2022-05-22","last_updated":"2023-03-17","_meta":{"source":"NPPES","snapshot_date":"2023-03-17","doc_url":"https://findmynpi.com/api"}}