{"npi":"1245452994","type":"NPI-1","status":"active","name":{"display":"Dr. Philip Dattilo M.D.","other":[],"first":"PHILIP","last":"DATTILO","middle":"B","credential":"M.D."},"specialty":{"primary_taxonomy":"207RI0011X","primary_taxonomy_description":"Interventional Cardiology","slug":"interventional-cardiology","schema_org_specialty":"Cardiovascular","all":[{"code":"207RI0011X","description":"Interventional Cardiology","primary":true,"state":"CO","license":"DR.0047426"},{"code":"207RC0000X","description":"Cardiovascular Disease","primary":false,"state":"CO","license":"47426"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"CO","license":"DR.0047426"},{"code":"207RI0011X","description":"Interventional Cardiology","primary":false,"state":"NE","license":"28429"},{"code":"207RI0011X","description":"Interventional Cardiology","primary":false,"state":"WY","license":"10035A"}]},"addresses":[{"purpose":"LOCATION","street_1":"2121 E HARMONY RD","city":"FORT COLLINS","state":"CO","postal_code":"805283400","country_code":"US","street_2":"STE 100","phone":"9702211000","fax":"9702976844"},{"purpose":"MAILING","street_1":"2121 E HARMONY RD","city":"FORT COLLINS","state":"CO","postal_code":"805283400","country_code":"US","street_2":"STE 100","phone":"9702211000","fax":"9702976844"}],"license":{"state":"CO","number":"DR.0047426"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"81987064","state":"CO","issuer":null},{"type_code":"01","label":"Other","value":"P01479130","state":"CO","issuer":"RAILROAD"},{"type_code":"05","label":"Medicaid","value":"1245452994","state":"WY","issuer":null}],"pecos":{"enrolled_at":"2026-07-01T15:01:53.235063+00:00","enrollments":[{"enrlmt_id":"I20090707000184","type_code":"14-C3","type_desc":"PRACTITIONER - INTERVENTIONAL CARDIOLOGY","state":"CO","pac_id":"3072664960"},{"enrlmt_id":"I20150723008165","type_code":"14-C3","type_desc":"PRACTITIONER - INTERVENTIONAL CARDIOLOGY","state":"NE","pac_id":"3072664960"},{"enrlmt_id":"I20150813012273","type_code":"14-C3","type_desc":"PRACTITIONER - INTERVENTIONAL CARDIOLOGY","state":"WY","pac_id":"3072664960"}]},"enumeration_date":"2007-05-03","last_updated":"2016-12-01","_meta":{"source":"NPPES","snapshot_date":"2016-12-01","doc_url":"https://findmynpi.com/api"}}