{"npi":"1083974307","type":"NPI-2","status":"active","name":{"display":"Shady Grove Minimally Invasive","other":[],"organization_name":"SHADY GROVE MINIMALLY INVASIVE","authorised_official":"Shabnam Dadgar"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":"MD","license":"D0072779"}]},"addresses":[{"purpose":"LOCATION","street_1":"10810 DARNESTOWN RD STE 202","city":"GAITHERSBURG","state":"MD","postal_code":"208782601","country_code":"US","phone":"2409124546","fax":"2409124471"},{"purpose":"MAILING","street_1":"10810 DARNESTOWN RD STE 202","city":"GAITHERSBURG","state":"MD","postal_code":"208782601","country_code":"US","phone":"2409124546","fax":"2409124471"}],"license":{"state":"MD","number":"D0072779"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20120724000090","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"DC","pac_id":"6507022308"}]},"enumeration_date":"2012-05-21","last_updated":"2025-12-24","_meta":{"source":"NPPES","snapshot_date":"2025-12-24","doc_url":"https://findmynpi.com/api"}}