{"npi":"1205897956","type":"NPI-1","status":"active","name":{"display":"Mr. Richard Stork MD","other":[],"first":"RICHARD","last":"STORK","middle":"JAMES","credential":"MD"},"specialty":{"primary_taxonomy":"208VP0014X","primary_taxonomy_description":"Pain Medicine","slug":"pain-medicine","schema_org_specialty":"Anesthesia","all":[{"code":"208VP0000X","description":"Pain Medicine Physician","primary":false,"state":"TN","license":"MD0000021916"},{"code":"208VP0000X","description":"Pain Medicine Physician","primary":false,"state":"GA","license":"047537"},{"code":"208VP0000X","description":"Pain Medicine Physician","primary":false,"state":"NC","license":"2007-00624"},{"code":"208VP0000X","description":"Pain Medicine Physician","primary":false,"state":"MO","license":"2008006962"},{"code":"208VP0014X","description":"Pain Medicine","primary":true,"state":"NC","license":"2008006962"}]},"addresses":[{"purpose":"LOCATION","street_1":"110 DUTCHMAN CT","city":"ELKIN","state":"NC","postal_code":"286212237","country_code":"US","phone":"3368355330","fax":"3368355337"},{"purpose":"MAILING","street_1":"PO BOX 1267","city":"MOUNT AIRY","state":"NC","postal_code":"270301267","country_code":"US","phone":"3367864522","fax":"3367893025"}],"license":{"state":"NC","number":"2008006962"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"000834666M","state":"GA","issuer":null},{"type_code":"01","label":"Other","value":"018XV","state":"NC","issuer":"BCBS OF NC"},{"type_code":"01","label":"Other","value":"197955","state":"NC","issuer":"MEDCOST"},{"type_code":"05","label":"Medicaid","value":"3893809","state":"TN","issuer":null},{"type_code":"05","label":"Medicaid","value":"009976335","state":"AL","issuer":null},{"type_code":"05","label":"Medicaid","value":"5906657","state":"NC","issuer":null},{"type_code":"01","label":"Other","value":"113000001","state":"MO","issuer":"MEDICARE PTAN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070802000466","type_code":"14-72","type_desc":"PRACTITIONER - PAIN MANAGEMENT","state":"NC","pac_id":"9931171097"}]},"enumeration_date":"2006-03-31","last_updated":"2014-01-14","_meta":{"source":"NPPES","snapshot_date":"2014-01-14","doc_url":"https://findmynpi.com/api"}}