{"npi":"1083703284","type":"NPI-1","status":"active","name":{"display":"Dr. Douglas Kondo M.D.","other":[],"first":"DOUGLAS","last":"KONDO","middle":"GAVIN","credential":"M.D."},"specialty":{"primary_taxonomy":"2084P0804X","primary_taxonomy_description":"Child & Adolescent Psychiatry","slug":"child-adolescent-psychiatry","schema_org_specialty":"Psychiatric","all":[{"code":"2084P0800X","description":"Psychiatry","primary":false,"state":"UT","license":"6313601-1205"},{"code":"2084P0804X","description":"Child & Adolescent Psychiatry","primary":true,"state":"UT","license":"6313601-1205"}]},"addresses":[{"purpose":"LOCATION","street_1":"501 S CHIPETA WAY","city":"SALT LAKE CITY","state":"UT","postal_code":"841081222","country_code":"US","phone":"8015851575"},{"purpose":"MAILING","street_1":"PO BOX 413076","city":"SALT LAKE CITY","state":"UT","postal_code":"841413076","country_code":"US","phone":"8012133900"}],"license":{"state":"UT","number":"6313601-1205"},"identifiers":[{"type_code":"01","label":"Other","value":"11725447","state":"UT","issuer":"CAQH NUMBER"},{"type_code":"01","label":"Other","value":"6313601-1205","state":"UT","issuer":"UTAH MEDICAL LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070309000269","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"UT","pac_id":"9739142332"}]},"enumeration_date":"2006-10-12","last_updated":"2023-03-07","_meta":{"source":"NPPES","snapshot_date":"2023-03-07","doc_url":"https://findmynpi.com/api"}}