{"npi":"1215912779","type":"NPI-2","status":"active","name":{"display":"Snell Prosthetic & Orthotic Laboratory","other":[],"organization_name":"SNELL PROSTHETIC & ORTHOTIC LABORATORY","authorised_official":"Brant Snell"},"specialty":{"primary_taxonomy":"335E00000X","primary_taxonomy_description":"Prosthetic/Orthotic Supplier","slug":"prosthetic-orthotic-supplier","schema_org_specialty":null,"all":[{"code":"335E00000X","description":"Prosthetic/Orthotic Supplier","primary":true,"state":"AR","license":"04734178001"}]},"addresses":[{"purpose":"LOCATION","street_1":"625 N UNIVERSITY AVE","city":"LITTLE ROCK","state":"AR","postal_code":"722052917","country_code":"US","phone":"5016642624","fax":"5016641708"},{"purpose":"MAILING","street_1":"625 N UNIVERSITY AVE","city":"LITTLE ROCK","state":"AR","postal_code":"722052917","country_code":"US","phone":"5016642624","fax":"5016641705"}],"license":{"state":"AR","number":"04734178001"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"104335716","state":"AR","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20100930075377","type_code":"30-53","type_desc":"DME SUPPLIER - MEDICAL SUPPLY COMPANY WITH ORTHOTIC-PROSTHETIC","state":"AR","pac_id":"8426175936"}]},"enumeration_date":"2005-12-07","last_updated":"2024-01-04","_meta":{"source":"NPPES","snapshot_date":"2024-01-04","doc_url":"https://findmynpi.com/api"}}