{"npi":"1336208511","type":"NPI-2","status":"active","name":{"display":"Brennan Orthodontics, Inc.","other":[],"organization_name":"BRENNAN ORTHODONTICS, INC.","authorised_official":"William Brennan"},"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":"RI","license":"DEN02587"}]},"addresses":[{"purpose":"LOCATION","street_1":"1434 WARWICK AVE","city":"WARWICK","state":"RI","postal_code":"028885026","country_code":"US","phone":"4014636350","fax":"4014635130"},{"purpose":"MAILING","street_1":"1434 WARWICK AVE","city":"WARWICK","state":"RI","postal_code":"028885026","country_code":"US","phone":"4014636350","fax":"4014635130"}],"license":{"state":"RI","number":"DEN02587"},"identifiers":[{"type_code":"01","label":"Other","value":"139-741","state":"RI","issuer":"UNITED CONCORDIA"},{"type_code":"01","label":"Other","value":"RG0069","state":"RI","issuer":"BLUE CROSS OF MA"},{"type_code":"01","label":"Other","value":"8037-4","state":"RI","issuer":"BLUE CROSS"},{"type_code":"05","label":"Medicaid","value":"WB01101","state":"RI","issuer":null},{"type_code":"01","label":"Other","value":"41-00012","state":"RI","issuer":"UNITED HEALTHCARE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-12-06","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}