{"npi":"1306629589","type":"NPI-2","status":"active","name":{"display":"Lakeshore Family Dental Center LLC","other":[],"organization_name":"LAKESHORE FAMILY DENTAL CENTER LLC","authorised_official":"Mike Cole"},"specialty":{"primary_taxonomy":"122300000X","primary_taxonomy_description":"Dentist","slug":"dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"7155 N PORT WASHINGTON RD","city":"GLENDALE","state":"WI","postal_code":"532173841","country_code":"US","phone":"4143521600"},{"purpose":"MAILING","street_1":"7155 N PORT WASHINGTON RD","city":"GLENDALE","state":"WI","postal_code":"532173841","country_code":"US","phone":"4143521600"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2023-08-14","last_updated":"2023-08-22","_meta":{"source":"NPPES","snapshot_date":"2023-08-22","doc_url":"https://findmynpi.com/api"}}