{"npi":"1114921459","type":"NPI-1","status":"active","name":{"display":"Ernest Charlesworth MD","other":[],"first":"ERNEST","last":"CHARLESWORTH","credential":"MD"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"TX","license":"D8172"}]},"addresses":[{"purpose":"LOCATION","street_1":"120 E BEAUREGARD AVE","city":"SAN ANGELO","state":"TX","postal_code":"769035919","country_code":"US","phone":"3254812294"},{"purpose":"MAILING","street_1":"PO BOX 22000","city":"SAN ANGELO","state":"TX","postal_code":"769027200","country_code":"US","phone":"3254812294"}],"license":{"state":"TX","number":"D8172"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"125204102","state":"TX","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-06-01","last_updated":"2013-01-16","_meta":{"source":"NPPES","snapshot_date":"2013-01-16","doc_url":"https://findmynpi.com/api"}}