{"npi":"1073975868","type":"NPI-2","status":"active","name":{"display":"Kid's Zone Dentistry, LLC","other":[],"organization_name":"KID'S ZONE DENTISTRY, LLC","authorised_official":"Laura Webb"},"specialty":{"primary_taxonomy":"122300000X","primary_taxonomy_description":"Dentist","slug":"dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":false,"state":"GA","license":"DN008745"},{"code":"122300000X","description":"Dentist","primary":false,"state":"GA","license":"DN014796"},{"code":"122300000X","description":"Dentist","primary":true,"state":"GA","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"307 CHURCH ST","city":"LAGRANGE","state":"GA","postal_code":"302402700","country_code":"US","street_2":"SUITE A","phone":"7068820591","fax":"7068459546"},{"purpose":"MAILING","street_1":"307 CHURCH ST","city":"LAGRANGE","state":"GA","postal_code":"302402700","country_code":"US","street_2":"SUITE A","phone":"7068820591","fax":"7068459546"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"000136848D","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"003148248A","state":"GA","issuer":null},{"type_code":"05","label":"Medicaid","value":"191678896B","state":"GA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2016-03-22","last_updated":"2016-03-22","_meta":{"source":"NPPES","snapshot_date":"2016-03-22","doc_url":"https://findmynpi.com/api"}}