{"npi":"1174516249","type":"NPI-2","status":"active","name":{"display":"Lake Convenience Clinic","other":[],"organization_name":"LAKE CONVENIENCE CLINIC","authorised_official":"Thomas Garrett"},"specialty":{"primary_taxonomy":"261Q00000X","primary_taxonomy_description":"Clinic/Center","slug":"clinic-center","schema_org_specialty":null,"all":[{"code":"261Q00000X","description":"Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"100 COLLEGE BLVD","city":"LAKE OZARK","state":"MO","postal_code":"650498690","country_code":"US","phone":"5733481560","fax":"5733485088"},{"purpose":"MAILING","street_1":"100 COLLEGE BLVD","city":"LAKE OZARK","state":"MO","postal_code":"650498690","country_code":"US","phone":"5733481560","fax":"5733485088"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-08-24","last_updated":"2008-07-03","_meta":{"source":"NPPES","snapshot_date":"2008-07-03","doc_url":"https://findmynpi.com/api"}}