{"npi":"1194733808","type":"NPI-1","status":"active","name":{"display":"Dr. John Haresch MD","other":[{"code":"1","type":"Formerly known as","value":"WATTS, JOHN WILLIAM"}],"first":"JOHN","last":"HARESCH","middle":"WATTS","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"NC","license":"200101152"}]},"addresses":[{"purpose":"LOCATION","street_1":"6365 N CROATAN HWY","city":"KITTY HAWK","state":"NC","postal_code":"279493800","country_code":"US","street_2":"SUITE B","phone":"2524806631","fax":"2524806630"},{"purpose":"MAILING","street_1":"2401 E ST NW","city":"WASHINGTON","state":"DC","postal_code":"20225","country_code":"US","phone":"2026631718"}],"license":{"state":"NC","number":"200101152"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"5906425","state":"NC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20220411000374","type_code":"14-38","type_desc":"PRACTITIONER - GERIATRIC MEDICINE","state":"DC","pac_id":"8426065202"}]},"enumeration_date":"2006-08-04","last_updated":"2016-03-30","_meta":{"source":"NPPES","snapshot_date":"2016-03-30","doc_url":"https://findmynpi.com/api"}}