{"npi":"1376780098","type":"NPI-2","status":"active","name":{"display":"The Dermatology Center PLLC","other":[],"organization_name":"THE DERMATOLOGY CENTER PLLC","authorised_official":"Phillip Stites"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"AR","license":"E-2778"}]},"addresses":[{"purpose":"LOCATION","street_1":"7900 DALLAS STREET","city":"FORT SMITH","state":"AR","postal_code":"729035690","country_code":"US","phone":"4792426647","fax":"4792500505"},{"purpose":"MAILING","street_1":"7900 DALLAS ST","city":"FORT SMITH","state":"AR","postal_code":"729035690","country_code":"US","phone":"4792426647","fax":"4792500505"}],"license":{"state":"AR","number":"E-2778"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"176760002","state":"AR","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090318000017","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AR","pac_id":"5799842845"}]},"enumeration_date":"2009-01-16","last_updated":"2023-03-06","_meta":{"source":"NPPES","snapshot_date":"2023-03-06","doc_url":"https://findmynpi.com/api"}}