{"npi":"1326348087","type":"NPI-2","status":"active","name":{"display":"Triad Adult And Pediatric Medicine, Inc.","other":[],"organization_name":"TRIAD ADULT AND PEDIATRIC MEDICINE, INC.","authorised_official":"Brian Ellerby"},"specialty":{"primary_taxonomy":"261QF0400X","primary_taxonomy_description":"Federally Qualified Health Center","slug":"fqhc","schema_org_specialty":"PrimaryCare","all":[{"code":"261QF0400X","description":"Federally Qualified Health Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1439 E CONE BLVD","city":"GREENSBORO","state":"NC","postal_code":"274054533","country_code":"US","phone":"3363756104","fax":"3363759308"},{"purpose":"MAILING","street_1":"1046 E WENDOVER AVE","city":"GREENSBORO","state":"NC","postal_code":"274056712","country_code":"US","phone":"3362721050","fax":"3362720155"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"2348638A","state":"NC","issuer":"MEDICARE PART B"},{"type_code":"01","label":"Other","value":"34D0947992","state":null,"issuer":"CLIA"},{"type_code":"05","label":"Medicaid","value":"5916334","state":"NC","issuer":null},{"type_code":"01","label":"Other","value":"024TE","state":"NC","issuer":"BCBS"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2010-10-28","last_updated":"2011-08-29","_meta":{"source":"NPPES","snapshot_date":"2011-08-29","doc_url":"https://findmynpi.com/api"}}