{"npi":"1114490778","type":"NPI-2","status":"active","name":{"display":"Legendary Dental PLLC","other":[],"organization_name":"LEGENDARY DENTAL PLLC","authorised_official":"Logan Veath"},"specialty":{"primary_taxonomy":"1223G0001X","primary_taxonomy_description":"General Practice Dentistry","slug":"general-practice-dentistry","schema_org_specialty":null,"all":[{"code":"1223G0001X","description":"General Practice Dentistry","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1809 21ST ST","city":"HARLAN","state":"IA","postal_code":"515371828","country_code":"US","phone":"7123400333"},{"purpose":"MAILING","street_1":"1809 21ST ST","city":"HARLAN","state":"IA","postal_code":"515371828","country_code":"US","phone":"7123400333"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1366821183","state":"IA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2019-01-07","last_updated":"2019-01-07","_meta":{"source":"NPPES","snapshot_date":"2019-01-07","doc_url":"https://findmynpi.com/api"}}