{"npi":"1295907574","type":"NPI-2","status":"active","name":{"display":"Walter B. Shepherd","other":[],"organization_name":"WALTER B. SHEPHERD","authorised_official":"Walter Shepherd"},"specialty":{"primary_taxonomy":"1223X0400X","primary_taxonomy_description":"Orthodontics and Dentofacial Orthopedics Dentistry","slug":"orthodontics-and-dentofacial-orthopedics-dentistry","schema_org_specialty":null,"all":[{"code":"1223X0400X","description":"Orthodontics and Dentofacial Orthopedics Dentistry","primary":true,"state":"NC","license":"004113"}]},"addresses":[{"purpose":"LOCATION","street_1":"113 E MOORE ST","city":"EDEN","state":"NC","postal_code":"27288","country_code":"US","phone":"3366275163","fax":"3366275165"},{"purpose":"MAILING","street_1":"PO BOX 246","city":"EDEN","state":"NC","postal_code":"272890246","country_code":"US","phone":"3366275163","fax":"3366275165"}],"license":{"state":"NC","number":"004113"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"8997773","state":"NC","issuer":null},{"type_code":"01","label":"Other","value":"078247","state":"VA","issuer":"VIRGINIA BCBS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-03-27","last_updated":"2008-03-27","_meta":{"source":"NPPES","snapshot_date":"2008-03-27","doc_url":"https://findmynpi.com/api"}}