{"npi":"1104176163","type":"NPI-1","status":"active","name":{"display":"Dr. Matthew Green D.D.S.","other":[],"first":"MATTHEW","last":"GREEN","middle":"PAUL","credential":"D.D.S."},"specialty":{"primary_taxonomy":"122300000X","primary_taxonomy_description":"Dentist","slug":"dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":true,"state":"MN","license":"D13156"}]},"addresses":[{"purpose":"LOCATION","street_1":"1405 78TH ST","city":"VICTORIA","state":"MN","postal_code":"553869723","country_code":"US","phone":"9524432994","fax":"9524432918"},{"purpose":"MAILING","street_1":"1405 78TH ST","city":"VICTORIA","state":"MN","postal_code":"553869723","country_code":"US","phone":"9524432994","fax":"9524432918"}],"license":{"state":"MN","number":"D13156"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160405001502","type_code":"33-19","type_desc":"ORDER AND REFERRING ONLY - ORAL SURGERY","state":"MN","pac_id":"0547567620"}]},"enumeration_date":"2012-09-17","last_updated":"2025-07-22","_meta":{"source":"NPPES","snapshot_date":"2025-07-22","doc_url":"https://findmynpi.com/api"}}