{"npi":"1184062309","type":"NPI-1","status":"active","name":{"display":"Johnathan Taitano DO","other":[],"first":"JOHNATHAN","last":"TAITANO","middle":"RYAN","credential":"DO"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"NV","license":"DO2144"},{"code":"174400000X","description":"Specialist","primary":false,"state":"NV","license":"SL0955"}]},"addresses":[{"purpose":"LOCATION","street_1":"2208 S NELLIS BLVD STE 5","city":"LAS VEGAS","state":"NV","postal_code":"891046211","country_code":"US","phone":"7027987770","fax":"7028957776"},{"purpose":"MAILING","street_1":"2610 S JONES BLVD STE 1","city":"LAS VEGAS","state":"NV","postal_code":"891465635","country_code":"US","phone":"7027238314","fax":"7028957776"}],"license":{"state":"NV","number":"DO2144"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1184062309","state":"NV","issuer":null},{"type_code":"01","label":"Other","value":"DO2144","state":"NV","issuer":"STATE LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20161206002291","type_code":"14-11","type_desc":"PRACTITIONER - INTERNAL MEDICINE","state":"NV","pac_id":"0042539579"}]},"enumeration_date":"2013-06-10","last_updated":"2025-10-13","_meta":{"source":"NPPES","snapshot_date":"2025-10-13","doc_url":"https://findmynpi.com/api"}}