{"npi":"1336570167","type":"NPI-2","status":"active","name":{"display":"Medicaid Dental Home","other":[],"organization_name":"MEDICAID DENTAL HOME","authorised_official":"Michelle Vacha"},"specialty":{"primary_taxonomy":"1223D0001X","primary_taxonomy_description":"Public Health Dentistry","slug":"public-health-dentistry","schema_org_specialty":null,"all":[{"code":"124Q00000X","description":"Dental Hygienist","primary":false,"state":"CO","license":"903783"},{"code":"1223D0001X","description":"Public Health Dentistry","primary":true,"state":"CO","license":"8109"}]},"addresses":[{"purpose":"LOCATION","street_1":"2125 E LA SALLE ST","city":"COLORADO SPRINGS","state":"CO","postal_code":"809092274","country_code":"US","phone":"7193103315"},{"purpose":"MAILING","street_1":"2604 FLINTRIDGE DR","city":"COLORADO SPRINGS","state":"CO","postal_code":"809184408","country_code":"US","phone":"7193382195"}],"license":{"state":"CO","number":"8109"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"84887761","state":"CO","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2013-12-04","last_updated":"2013-12-04","_meta":{"source":"NPPES","snapshot_date":"2013-12-04","doc_url":"https://findmynpi.com/api"}}