{"npi":"1265768451","type":"NPI-2","status":"active","name":{"display":"Maquoketa Kidney Center, LLC","other":[],"organization_name":"MAQUOKETA KIDNEY CENTER, LLC","authorised_official":"Rajesh Alla"},"specialty":{"primary_taxonomy":"261QE0700X","primary_taxonomy_description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","slug":"end-stage-renal-disease-esrd-treatment-clinic-center","schema_org_specialty":null,"all":[{"code":"261QE0700X","description":"End-Stage Renal Disease (ESRD) Treatment Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"700 W GROVE ST","city":"MAQUOKETA","state":"IA","postal_code":"520602163","country_code":"US","phone":"5636529674","fax":"5636529679"},{"purpose":"MAILING","street_1":"400 JOHN DEERE RD","city":"MOLINE","state":"IL","postal_code":"612656898","country_code":"US","phone":"3097625570","fax":"3097625297"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1265768451","state":"IA","issuer":null},{"type_code":"01","label":"Other","value":"62543","state":"IA","issuer":"BCBS OF IA / WELLMARK"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2009-10-23","last_updated":"2014-08-29","_meta":{"source":"NPPES","snapshot_date":"2014-08-29","doc_url":"https://findmynpi.com/api"}}