{"npi":"1154320059","type":"NPI-1","status":"active","name":{"display":"Mark Dickinson MD","other":[],"first":"MARK","last":"DICKINSON","middle":"WADE","credential":"MD"},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"MA","license":"230380"},{"code":"208000000X","description":"Pediatrics","primary":true,"state":"MA","license":"230380"},{"code":"208M00000X","description":"Hospitalist","primary":false,"state":"MA","license":"230380"}]},"addresses":[{"purpose":"LOCATION","street_1":"388 COMMONWEALTH AVE","city":"BOSTON","state":"MA","postal_code":"022152800","country_code":"US","street_2":"MGH BACK BAY","phone":"6172677171","fax":"6172622608"},{"purpose":"MAILING","street_1":"388 COMMONWEALTH AVE","city":"BOSTON","state":"MA","postal_code":"022152800","country_code":"US","street_2":"MGH BACK BAY","phone":"6172677171","fax":"6172622608"}],"license":{"state":"MA","number":"230380"},"identifiers":[{"type_code":"01","label":"Other","value":"AA77715","state":"MA","issuer":"HPHC"},{"type_code":"01","label":"Other","value":"AA77715","state":"MA","issuer":"MASSHEALTH"},{"type_code":"01","label":"Other","value":"121680","state":"MA","issuer":"FALLON"},{"type_code":"05","label":"Medicaid","value":"2128071","state":"MA","issuer":null},{"type_code":"01","label":"Other","value":"OX2506","state":"MA","issuer":"MEDICARE PTAN GROUP 21240"},{"type_code":"01","label":"Other","value":"3975642","state":"MA","issuer":"CIGNA"},{"type_code":"01","label":"Other","value":"495561","state":"MA","issuer":"TUFTS"},{"type_code":"01","label":"Other","value":"5035676","state":"MA","issuer":"AETNA"},{"type_code":"01","label":"Other","value":"96009801","state":"MA","issuer":"NETWORK HEALTH"},{"type_code":"01","label":"Other","value":"J41145","state":"MA","issuer":"BCBS"},{"type_code":"01","label":"Other","value":"OX2507","state":"MA","issuer":"MEDICARE PTAN GROUP 21241"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070406000229","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"MA","pac_id":"3678542271"}]},"enumeration_date":"2005-07-21","last_updated":"2009-08-12","_meta":{"source":"NPPES","snapshot_date":"2009-08-12","doc_url":"https://findmynpi.com/api"}}