{"npi":"1104940840","type":"NPI-1","status":"active","name":{"display":"Dr. Philip Koh DDS","other":[{"code":"1","type":"Formerly known as","value":"KOH, ILWOONG"}],"first":"PHILIP","last":"KOH","middle":"I","credential":"DDS"},"specialty":{"primary_taxonomy":"1223G0001X","primary_taxonomy_description":"General Practice Dentistry","slug":"general-practice-dentistry","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":false,"state":"MI","license":"2901019018"},{"code":"1223G0001X","description":"General Practice Dentistry","primary":true,"state":"MI","license":"2901019018"}]},"addresses":[{"purpose":"LOCATION","street_1":"14016 SULLYFIELD CIR STE B","city":"CHANTILLY","state":"VA","postal_code":"201514010","country_code":"US","phone":"7038150699","fax":"7038150692"},{"purpose":"MAILING","street_1":"14016 SULLYFIELD CIR STE B","city":"CHANTILLY","state":"VA","postal_code":"201514010","country_code":"US","phone":"7038150699","fax":"7038150692"}],"license":{"state":"MI","number":"2901019018"},"identifiers":[{"type_code":"01","label":"Other","value":"1958112110","state":"MI","issuer":"BCBS OF MI MED SURGICAL"},{"type_code":"01","label":"Other","value":"D910180","state":"MI","issuer":"BCBS OF MI DENTAL"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-19","last_updated":"2024-02-05","_meta":{"source":"NPPES","snapshot_date":"2024-02-05","doc_url":"https://findmynpi.com/api"}}