{"npi":"1407957897","type":"NPI-2","status":"active","name":{"display":"Kirby Clendenon DDS","other":[],"organization_name":"KIRBY CLENDENON DDS","authorised_official":"Kirby Clendenon"},"specialty":{"primary_taxonomy":"1223G0001X","primary_taxonomy_description":"General Practice Dentistry","slug":"general-practice-dentistry","schema_org_specialty":null,"all":[{"code":"1223G0001X","description":"General Practice Dentistry","primary":true,"state":"ID","license":"D1836"}]},"addresses":[{"purpose":"LOCATION","street_1":"1711 S 10TH AVE","city":"CALDWELL","state":"ID","postal_code":"836054839","country_code":"US","phone":"2089549217","fax":"2084531037"},{"purpose":"MAILING","street_1":"1711 S 10TH AVE","city":"CALDWELL","state":"ID","postal_code":"836054839","country_code":"US","phone":"2084549217","fax":"2084531037"}],"license":{"state":"ID","number":"D1836"},"identifiers":[{"type_code":"01","label":"Other","value":"839559","state":"ID","issuer":"UNITED CONCORDIA"},{"type_code":"01","label":"Other","value":"69096","state":"ID","issuer":"B/C OF ID"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-09-26","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}