{"npi":"1417376344","type":"NPI-1","status":"active","name":{"display":"Nathan Grimm M.D.","other":[],"first":"NATHAN","last":"GRIMM","middle":"LEWIS","credential":"M.D."},"specialty":{"primary_taxonomy":"207XX0005X","primary_taxonomy_description":"Orthopaedic Sports Medicine","slug":"orthopedic-sports-medicine","schema_org_specialty":"Musculoskeletal","all":[{"code":"207XX0005X","description":"Orthopaedic Sports Medicine","primary":false,"state":"ID","license":"M-15091"},{"code":"207XX0005X","description":"Orthopaedic Sports Medicine","primary":true,"state":"CT","license":"62489"}]},"addresses":[{"purpose":"LOCATION","street_1":"1188 W UNIVERSITY DR","city":"BOISE","state":"ID","postal_code":"837063009","country_code":"US","phone":"2083368250","fax":"2083459514"},{"purpose":"MAILING","street_1":"1188 W UNIVERSITY DR","city":"BOISE","state":"ID","postal_code":"837063009","country_code":"US","phone":"2083368250","fax":"2083459514"}],"license":{"state":"CT","number":"62489"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200608001115","type_code":"14-20","type_desc":"PRACTITIONER - ORTHOPEDIC SURGERY","state":"ID","pac_id":"9638590219"}]},"enumeration_date":"2014-04-08","last_updated":"2023-01-26","_meta":{"source":"NPPES","snapshot_date":"2023-01-26","doc_url":"https://findmynpi.com/api"}}