{"npi":"1346016185","type":"NPI-2","status":"active","name":{"display":"River Valley Gastroenterology, PLLC","other":[],"organization_name":"RIVER VALLEY GASTROENTEROLOGY, PLLC","authorised_official":"Jenifer Kolbert"},"specialty":{"primary_taxonomy":"207RG0100X","primary_taxonomy_description":"Gastroenterology","slug":"gastroenterology","schema_org_specialty":"Gastroenterologic","all":[{"code":"207RG0100X","description":"Gastroenterology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"9001 JENNY LIND RD STE 2","city":"FORT SMITH","state":"AR","postal_code":"729088629","country_code":"US","phone":"4794443566","fax":"4793164464"},{"purpose":"MAILING","street_1":"9001 JENNY LIND RD STE 2","city":"FORT SMITH","state":"AR","postal_code":"729088629","country_code":"US","phone":"4794443566","fax":"4793164464"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"201263180A","state":"OK","issuer":null},{"type_code":"05","label":"Medicaid","value":"316656002","state":"AR","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20240129001129","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AR","pac_id":"7911350707"}]},"enumeration_date":"2023-12-04","last_updated":"2026-05-27","_meta":{"source":"NPPES","snapshot_date":"2026-05-27","doc_url":"https://findmynpi.com/api"}}