{"npi":"1265769780","type":"NPI-1","status":"active","name":{"display":"Jeannie Vickery DDS","other":[],"first":"JEANNIE","last":"VICKERY","middle":"M","credential":"DDS"},"specialty":{"primary_taxonomy":"1223P0700X","primary_taxonomy_description":"Prosthodontics","slug":"prosthodontics","schema_org_specialty":null,"all":[{"code":"1223P0700X","description":"Prosthodontics","primary":true,"state":"IN","license":"12007392A"}]},"addresses":[{"purpose":"LOCATION","street_1":"1121 W MICHIGAN STREET","city":"INDIANAPOLIS","state":"IN","postal_code":"462025186","country_code":"US","street_2":"DS307B","phone":"3172783632","fax":"3172742603"},{"purpose":"MAILING","street_1":"1121 W MICHIGAN STREET","city":"INDIANAPOLIS","state":"IN","postal_code":"462025186","country_code":"US","street_2":"DS307B","phone":"3172783632","fax":"3172742603"}],"license":{"state":"IN","number":"12007392A"},"identifiers":[{"type_code":"01","label":"Other","value":"12007392A","state":null,"issuer":"INDIANA DENTAL LICENSE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160914000622","type_code":"33-19","type_desc":"ORDER AND REFERRING ONLY - ORAL SURGERY","state":"IN","pac_id":"9335435569"}]},"enumeration_date":"2009-11-04","last_updated":"2016-11-03","_meta":{"source":"NPPES","snapshot_date":"2016-11-03","doc_url":"https://findmynpi.com/api"}}