{"npi":"1396483871","type":"NPI-2","status":"active","name":{"display":"Magnolia Smiles Of Petal PLLC","other":[],"organization_name":"MAGNOLIA SMILES OF PETAL PLLC","authorised_official":"Oscar Jones"},"specialty":{"primary_taxonomy":"122300000X","primary_taxonomy_description":"Dentist","slug":"dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1229 HIGHWAY 42 STE 160-170","city":"PETAL","state":"MS","postal_code":"394652733","country_code":"US","phone":"6017355086"},{"purpose":"MAILING","street_1":"1229 HIGHWAY 42 STE 160-170","city":"PETAL","state":"MS","postal_code":"394652733","country_code":"US","phone":"6017355086"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"200000763","state":"MS","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2022-05-24","last_updated":"2023-02-07","_meta":{"source":"NPPES","snapshot_date":"2023-02-07","doc_url":"https://findmynpi.com/api"}}