{"npi":"1144844879","type":"NPI-2","status":"active","name":{"display":"Dandridge Pediatric Dentistry","other":[],"organization_name":"DANDRIDGE PEDIATRIC DENTISTRY","authorised_official":"Victoria Childers"},"specialty":{"primary_taxonomy":"1223P0221X","primary_taxonomy_description":"Pediatric Dentistry","slug":"pediatric-dentistry","schema_org_specialty":null,"all":[{"code":"1223P0221X","description":"Pediatric Dentistry","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"117 E PRICE RD","city":"DANDRIDGE","state":"TN","postal_code":"377254513","country_code":"US","phone":"8659401280"},{"purpose":"MAILING","street_1":"117 E PRICE RD","city":"DANDRIDGE","state":"TN","postal_code":"377254513","country_code":"US","phone":"8659401280"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"Q055235","state":"TN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20200708003210","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TN","pac_id":"8729401864"}]},"enumeration_date":"2020-05-28","last_updated":"2020-05-28","_meta":{"source":"NPPES","snapshot_date":"2020-05-28","doc_url":"https://findmynpi.com/api"}}