{"npi":"1366893752","type":"NPI-1","status":"active","name":{"display":"Kirsten Dickinson MD","other":[{"code":"1","type":"Formerly known as","value":"GOETZ, KIRSTEN"}],"first":"KIRSTEN","last":"DICKINSON","credential":"MD"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207ND0101X","description":"Dermatology, Mohs Surgery","primary":false,"state":"MI","license":"4301504690"},{"code":"207N00000X","description":"Dermatology","primary":false,"state":"OH","license":"35.139357"},{"code":"207N00000X","description":"Dermatology","primary":false,"state":"IA","license":"R-10964"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"IA","license":"R10695"},{"code":"207N00000X","description":"Dermatology","primary":true,"state":"MI","license":"4301504690"}]},"addresses":[{"purpose":"LOCATION","street_1":"12327 STRATFORD DR","city":"CLIVE","state":"IA","postal_code":"503258148","country_code":"US","phone":"5152247088","fax":"5152249228"},{"purpose":"MAILING","street_1":"801 YORK ST","city":"MANITOWOC","state":"WI","postal_code":"542204630","country_code":"US","phone":"9206639008","fax":"9206841439"}],"license":{"state":"MI","number":"4301504690"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190730000250","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"IA","pac_id":"1153614334"},{"enrlmt_id":"I20210701002242","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"MI","pac_id":"1153614334"}]},"enumeration_date":"2016-06-27","last_updated":"2024-06-21","_meta":{"source":"NPPES","snapshot_date":"2024-06-21","doc_url":"https://findmynpi.com/api"}}