{"npi":"1295771244","type":"NPI-1","status":"active","name":{"display":"Carl Hanke MD","other":[],"first":"CARL","last":"HANKE","middle":"WILLIAM","credential":"MD"},"specialty":{"primary_taxonomy":"207ND0101X","primary_taxonomy_description":"Dermatology, Mohs Surgery","slug":"dermatology-mohs-surgery","schema_org_specialty":"Dermatologic","all":[{"code":"207ND0101X","description":"Dermatology, Mohs Surgery","primary":false,"state":"IA","license":"18628"},{"code":"207ND0900X","description":"Dermatopathology Physician","primary":false,"state":"IN","license":"01029310A"},{"code":"207NS0135X","description":"Procedural Dermatology Physician","primary":false,"state":"IA","license":"18628"},{"code":"207NS0135X","description":"Procedural Dermatology Physician","primary":false,"state":"IN","license":"01029310A"},{"code":"207ND0101X","description":"Dermatology, Mohs Surgery","primary":true,"state":"IN","license":"01029310A"}]},"addresses":[{"purpose":"LOCATION","street_1":"8925 N MERIDIAN ST STE 200","city":"INDIANAPOLIS","state":"IN","postal_code":"462602385","country_code":"US","phone":"3176604900","fax":"3176607112"},{"purpose":"MAILING","street_1":"8925 N MERIDIAN ST STE 200","city":"INDIANAPOLIS","state":"IN","postal_code":"462602385","country_code":"US","phone":"3176604900","fax":"3176607112"}],"license":{"state":"IN","number":"01029310A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0735829","state":"IA","issuer":null},{"type_code":"05","label":"Medicaid","value":"10062850A","state":"IN","issuer":null},{"type_code":"01","label":"Other","value":"10702","state":"IA","issuer":"WELLMARK BCBS"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090424000387","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"IN","pac_id":"2062419328"}]},"enumeration_date":"2006-06-20","last_updated":"2023-07-24","_meta":{"source":"NPPES","snapshot_date":"2023-07-24","doc_url":"https://findmynpi.com/api"}}