{"npi":"1245235266","type":"NPI-1","status":"active","name":{"display":"Dr. Charles Mettetal M.D.","other":[],"first":"CHARLES","last":"METTETAL","middle":"TED","credential":"M.D."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"TX","license":"F6042"},{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"AR","license":"C4956"}]},"addresses":[{"purpose":"LOCATION","street_1":"801 W MAIN ST","city":"GUN BARREL CITY","state":"TX","postal_code":"751565312","country_code":"US","phone":"9038871011","fax":"9036039441"},{"purpose":"MAILING","street_1":"PO BOX 1610","city":"ATHENS","state":"TX","postal_code":"757519004","country_code":"US","phone":"9036037067","fax":"9036037595"}],"license":{"state":"TX","number":"F6042"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"133097901","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"80F795","state":"TX","issuer":"BCBS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100222000845","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"TX","pac_id":"8325182835"}]},"enumeration_date":"2005-06-16","last_updated":"2024-05-06","_meta":{"source":"NPPES","snapshot_date":"2024-05-06","doc_url":"https://findmynpi.com/api"}}