{"npi":"1346388915","type":"NPI-1","status":"active","name":{"display":"Michael Candreva OD","other":[],"first":"MICHAEL","last":"CANDREVA","middle":"A","credential":"OD"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"CO","license":"CO1796"}]},"addresses":[{"purpose":"LOCATION","street_1":"10 N RIVER ROAD","city":"FORT YATES","state":"ND","postal_code":"58538","country_code":"US","phone":"7018548248","fax":"7018547411"},{"purpose":"MAILING","street_1":"N 10 RIVER ROAD","city":"FORT YATES","state":"ND","postal_code":"58538","country_code":"US","phone":"7018548248","fax":"7018547411"}],"license":{"state":"CO","number":"CO1796"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"5540010","state":"ND","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040712001442","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"TX","pac_id":"5193703437"}]},"enumeration_date":"2007-02-03","last_updated":"2018-08-17","_meta":{"source":"NPPES","snapshot_date":"2018-08-17","doc_url":"https://findmynpi.com/api"}}