{"npi":"1164258752","type":"NPI-2","status":"active","name":{"display":"Ross Family Dentistry","other":[],"organization_name":"ROSS FAMILY DENTISTRY","authorised_official":"Nicholas Ross"},"specialty":{"primary_taxonomy":"1223G0001X","primary_taxonomy_description":"General Practice Dentistry","slug":"general-practice-dentistry","schema_org_specialty":null,"all":[{"code":"1223G0001X","description":"General Practice Dentistry","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"170 WAMPLERS LAKE RD","city":"BROOKLYN","state":"MI","postal_code":"492309585","country_code":"US","phone":"5175923003","fax":"5175925785"},{"purpose":"MAILING","street_1":"170 WAMPLERS LAKE RD","city":"BROOKLYN","state":"MI","postal_code":"492309585","country_code":"US","phone":"5175923003","fax":"5175925785"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1801389499","state":"MI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2024-09-10","last_updated":"2024-09-10","_meta":{"source":"NPPES","snapshot_date":"2024-09-10","doc_url":"https://findmynpi.com/api"}}