{"npi":"1376292987","type":"NPI-1","status":"active","name":{"display":"Dr. Spencer Seballos MD","other":[],"first":"SPENCER","last":"SEBALLOS","middle":"STEPHEN","credential":"MD"},"specialty":{"primary_taxonomy":"207P00000X","primary_taxonomy_description":"Emergency Medicine","slug":"emergency-medicine","schema_org_specialty":"Emergency","all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"207P00000X","description":"Emergency Medicine","primary":true,"state":"CO","license":"DR.0074817"}]},"addresses":[{"purpose":"LOCATION","street_1":"777 BANNOCK ST # MC0108","city":"DENVER","state":"CO","postal_code":"802044507","country_code":"US","phone":"3036025193"},{"purpose":"MAILING","street_1":"777 BANNOCK ST # MC0108","city":"DENVER","state":"CO","postal_code":"802044507","country_code":"US","phone":"3036025193"}],"license":{"state":"CO","number":"DR.0074817"},"identifiers":[{"type_code":"01","label":"Other","value":"029733","state":"CO","issuer":"KAISER COMMERCIAL NUMBER"},{"type_code":"05","label":"Medicaid","value":"9000220106","state":"CO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250523002330","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"CO","pac_id":"4183143951"}]},"enumeration_date":"2022-03-21","last_updated":"2025-07-08","_meta":{"source":"NPPES","snapshot_date":"2025-07-08","doc_url":"https://findmynpi.com/api"}}