{"npi":"1174653372","type":"NPI-2","status":"active","name":{"display":"Full Care Dental PLLC","other":[],"organization_name":"FULL CARE DENTAL PLLC","authorised_official":"Timothy Lawhorn"},"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":"MT","license":"1744"}]},"addresses":[{"purpose":"LOCATION","street_1":"690 SW HIGGINS AVE STE E","city":"MISSOULA","state":"MT","postal_code":"598031433","country_code":"US","phone":"4065433777","fax":"4065436205"},{"purpose":"MAILING","street_1":"690 SW HIGGINS AVE STE E","city":"MISSOULA","state":"MT","postal_code":"598031433","country_code":"US","phone":"4065433777","fax":"4065436205"}],"license":{"state":"MT","number":"1744"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0110903","state":"MT","issuer":null},{"type_code":"01","label":"Other","value":"5512828","state":"MT","issuer":"CHIP"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-03-06","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}