{"npi":"1215201215","type":"NPI-2","status":"active","name":{"display":"Vincent D. Mallory Md., LLC","other":[],"organization_name":"VINCENT D. MALLORY MD., LLC","authorised_official":"Constance Mallory"},"specialty":{"primary_taxonomy":"261QP2300X","primary_taxonomy_description":"Primary Care Clinic","slug":"primary-care-clinic","schema_org_specialty":"PrimaryCare","all":[{"code":"261QP2300X","description":"Primary Care Clinic","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"3311 PRESCOTT RD","city":"ALEXANDRIA","state":"LA","postal_code":"713013900","country_code":"US","street_2":"SUITE 316","phone":"3184871717","fax":"3184871170"},{"purpose":"MAILING","street_1":"3311 PRESCOTT RD","city":"ALEXANDRIA","state":"LA","postal_code":"713013900","country_code":"US","street_2":"SUITE 316","phone":"3184871717","fax":"3184871170"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1574520","state":"LA","issuer":null},{"type_code":"01","label":"Other","value":"1215918503","state":"LA","issuer":"NPI-INDIVIDUAL"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2012-03-08","last_updated":"2012-03-08","_meta":{"source":"NPPES","snapshot_date":"2012-03-08","doc_url":"https://findmynpi.com/api"}}