{"npi":"1144296302","type":"NPI-1","status":"active","name":{"display":"Dr. Carole Fuller-Edmonds DMD","other":[],"first":"CAROLE","last":"FULLER-EDMONDS","credential":"DMD"},"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":"AL","license":"4276"},{"code":"1223G0001X","description":"General Practice Dentistry","primary":true,"state":"AL","license":"4276 AL"}]},"addresses":[{"purpose":"LOCATION","street_1":"201 N MAIN ST","city":"BOAZ","state":"AL","postal_code":"359571601","country_code":"US","street_2":"SUITE J","phone":"2565930035","fax":"2565939101"},{"purpose":"MAILING","street_1":"PO BOX 309","city":"PISGAH","state":"AL","postal_code":"357650309","country_code":"US","phone":"2565930035","fax":"2565939101"}],"license":{"state":"AL","number":"4276 AL"},"identifiers":[{"type_code":"01","label":"Other","value":"135433","state":"TN","issuer":"BCBS-DENTAL"},{"type_code":"01","label":"Other","value":"51090809","state":"AL","issuer":"BCBS - DENTAL"},{"type_code":"05","label":"Medicaid","value":"009006500","state":"AL","issuer":null},{"type_code":"01","label":"Other","value":"630980899","state":"AL","issuer":"DELTA USA"},{"type_code":"01","label":"Other","value":"887635","state":"AL","issuer":"UNITED CONCORDOA - DENTAL"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-02-27","last_updated":"2023-06-27","_meta":{"source":"NPPES","snapshot_date":"2023-06-27","doc_url":"https://findmynpi.com/api"}}