{"npi":"1124476676","type":"NPI-1","status":"active","name":{"display":"Dr. Shane Smith M.D","other":[],"first":"SHANE","last":"SMITH","middle":"DAVID","credential":"M.D"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"MD","license":"D0096028"}]},"addresses":[{"purpose":"LOCATION","street_1":"810 LANDMARK DR STE 217-219","city":"GLEN BURNIE","state":"MD","postal_code":"210614987","country_code":"US","phone":"4433513376"},{"purpose":"MAILING","street_1":"1306 CONCOURSE DR STE 201","city":"LINTHICUM HEIGHTS","state":"MD","postal_code":"210901033","country_code":"US"}],"license":{"state":"MD","number":"D0096028"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220928000552","type_code":"14-22","type_desc":"PRACTITIONER - PATHOLOGY","state":"NC","pac_id":"5799079240"},{"enrlmt_id":"I20250508002474","type_code":"14-22","type_desc":"PRACTITIONER - PATHOLOGY","state":"MD","pac_id":"5799079240"},{"enrlmt_id":"I20250722001568","type_code":"14-22","type_desc":"PRACTITIONER - PATHOLOGY","state":"DC","pac_id":"5799079240"}]},"enumeration_date":"2016-05-25","last_updated":"2025-04-14","_meta":{"source":"NPPES","snapshot_date":"2025-04-14","doc_url":"https://findmynpi.com/api"}}