{"npi":"1396333605","type":"NPI-2","status":"active","name":{"display":"Durango Ultrasound","other":[],"organization_name":"DURANGO ULTRASOUND","authorised_official":"Laurel Campbell"},"specialty":{"primary_taxonomy":"2085U0001X","primary_taxonomy_description":"Diagnostic Ultrasound Physician","slug":"diagnostic-ultrasound-physician","schema_org_specialty":null,"all":[{"code":"2471S1302X","description":"Sonography Radiologic Technologist","primary":false,"state":null,"license":null},{"code":"2471V0105X","description":"Vascular Sonography Radiologic Technologist","primary":false,"state":null,"license":null},{"code":"2085U0001X","description":"Diagnostic Ultrasound Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"270 E 8TH AVE STE 201","city":"DURANGO","state":"CO","postal_code":"813015768","country_code":"US","phone":"9702477997","fax":"9702477996"},{"purpose":"MAILING","street_1":"270 E 8TH AVE STE 201","city":"DURANGO","state":"CO","postal_code":"813015768","country_code":"US","phone":"9702477997","fax":"9702477996"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"1851990493","state":null,"issuer":"INDIVIDUAL NPI"},{"type_code":"05","label":"Medicaid","value":"9000216381","state":"CO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20210308000224","type_code":"12-47","type_desc":"PART B SUPPLIER - INDEPENDENT DIAGNOSTIC TESTING FACILITY (IDTF)","state":"CO","pac_id":"4486067386"}]},"enumeration_date":"2021-01-04","last_updated":"2023-07-05","_meta":{"source":"NPPES","snapshot_date":"2023-07-05","doc_url":"https://findmynpi.com/api"}}