{"npi":"1205862273","type":"NPI-1","status":"active","name":{"display":"Clark Kruta CRNA","other":[],"first":"CLARK","last":"KRUTA","middle":"J","credential":"CRNA"},"specialty":{"primary_taxonomy":"367500000X","primary_taxonomy_description":"Certified Registered Nurse Anesthetist","slug":"certified-registered-nurse-anesthetist","schema_org_specialty":null,"all":[{"code":"367500000X","description":"Certified Registered Nurse Anesthetist","primary":true,"state":"ND","license":"R21653"}]},"addresses":[{"purpose":"LOCATION","street_1":"570 CHAUTAUQUA BLVD","city":"VALLEY CITY","state":"ND","postal_code":"580723145","country_code":"US","phone":"7018456522","fax":"7018456520"},{"purpose":"MAILING","street_1":"251 4TH AVE NW","city":"VALLEY CITY","state":"ND","postal_code":"580722931","country_code":"US","phone":"7018459399"}],"license":{"state":"ND","number":"R21653"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1454945","state":"ND","issuer":null},{"type_code":"01","label":"Other","value":"R21653","state":"ND","issuer":"LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20110225000143","type_code":"14-43","type_desc":"PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)","state":"ND","pac_id":"4284723461"}]},"enumeration_date":"2006-06-23","last_updated":"2018-04-10","_meta":{"source":"NPPES","snapshot_date":"2018-04-10","doc_url":"https://findmynpi.com/api"}}