{"npi":"1134499007","type":"NPI-2","status":"active","name":{"display":"Great Grins Children's Dentistry, P.L.L.C.","other":[],"organization_name":"GREAT GRINS CHILDREN'S DENTISTRY, P.L.L.C.","authorised_official":"Angela Wolfman"},"specialty":{"primary_taxonomy":"1223P0221X","primary_taxonomy_description":"Pediatric Dentistry","slug":"pediatric-dentistry","schema_org_specialty":null,"all":[{"code":"1223P0221X","description":"Pediatric Dentistry","primary":false,"state":"AZ","license":"6742"},{"code":"1223P0221X","description":"Pediatric Dentistry","primary":true,"state":"AZ","license":"6632"}]},"addresses":[{"purpose":"LOCATION","street_1":"3953 E PARADISE FALLS DR","city":"TUCSON","state":"AZ","postal_code":"857126688","country_code":"US","street_2":"SUITE 110","phone":"5203254746","fax":"5203191031"},{"purpose":"MAILING","street_1":"3953 E PARADISE FALLS DR","city":"TUCSON","state":"AZ","postal_code":"857126688","country_code":"US","street_2":"SUITE 110","phone":"5203254746","fax":"5203191031"}],"license":{"state":"AZ","number":"6632"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"977473","state":"AZ","issuer":null},{"type_code":"05","label":"Medicaid","value":"967177","state":"AZ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2012-01-09","last_updated":"2013-05-14","_meta":{"source":"NPPES","snapshot_date":"2013-05-14","doc_url":"https://findmynpi.com/api"}}