{"npi":"1396791141","type":"NPI-1","status":"active","name":{"display":"Adam Dipuccio C.C.C.-A.F.A.A.A.","other":[],"first":"ADAM","last":"DIPUCCIO","credential":"C.C.C.-A.F.A.A.A."},"specialty":{"primary_taxonomy":"231H00000X","primary_taxonomy_description":"Audiologist","slug":"audiologist","schema_org_specialty":null,"all":[{"code":"231H00000X","description":"Audiologist","primary":true,"state":"AZ","license":"DA2043"}]},"addresses":[{"purpose":"LOCATION","street_1":"5202 E. MAIN ST.","city":"MESA","state":"AZ","postal_code":"852058038","country_code":"US","street_2":"SUITE #105","phone":"4802181328","fax":"4802181330"},{"purpose":"MAILING","street_1":"5202 E. MAIN ST.","city":"MESA","state":"AZ","postal_code":"852058038","country_code":"US","street_2":"SUITE #105","phone":"4802181328","fax":"4802181330"}],"license":{"state":"AZ","number":"DA2043"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"894164","state":"AZ","issuer":null},{"type_code":"01","label":"Other","value":"1396791141","state":null,"issuer":"INDIVIDUAL NPI"},{"type_code":"01","label":"Other","value":"DA2043","state":"AZ","issuer":"STATE AUDIOLOGY LIC #"},{"type_code":"01","label":"Other","value":"1881708261","state":null,"issuer":"GROUP NPI"},{"type_code":"01","label":"Other","value":"Y16021","state":null,"issuer":"GROUP UPIN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040903000189","type_code":"14-64","type_desc":"PRACTITIONER - QUALIFIED AUDIOLOGIST","state":"AZ","pac_id":"8527034354"}]},"enumeration_date":"2006-05-25","last_updated":"2012-08-27","_meta":{"source":"NPPES","snapshot_date":"2012-08-27","doc_url":"https://findmynpi.com/api"}}