{"npi":"1235111014","type":"NPI-1","status":"active","name":{"display":"Dr. Loretto Glynn M.D.","other":[],"first":"LORETTO","last":"GLYNN","credential":"M.D."},"specialty":{"primary_taxonomy":"2086S0120X","primary_taxonomy_description":"Pediatric Surgery Physician","slug":"pediatric-surgery-physician","schema_org_specialty":null,"all":[{"code":"2086S0120X","description":"Pediatric Surgery Physician","primary":false,"state":"OK","license":"35914"},{"code":"2086S0120X","description":"Pediatric Surgery Physician","primary":true,"state":"IL","license":"036-083709"}]},"addresses":[{"purpose":"LOCATION","street_1":"259 1ST ST","city":"MINEOLA","state":"NY","postal_code":"115013957","country_code":"US","phone":"5166634600"},{"purpose":"MAILING","street_1":"11115 PARKVIEW PLAZA DR","city":"FORT WAYNE","state":"IN","postal_code":"468451701","country_code":"US"}],"license":{"state":"IL","number":"036-083709"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20031212000758","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"IL","pac_id":"6103723747"},{"enrlmt_id":"I20200415002617","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"MO","pac_id":"6103723747"},{"enrlmt_id":"I20201218002511","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"NY","pac_id":"6103723747"}]},"enumeration_date":"2005-11-16","last_updated":"2021-04-28","_meta":{"source":"NPPES","snapshot_date":"2021-04-28","doc_url":"https://findmynpi.com/api"}}