{"npi":"1427090133","type":"NPI-1","status":"active","name":{"display":"Dr. Gregory Phelan M.D","other":[],"first":"GREGORY","last":"PHELAN","credential":"M.D"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"MN","license":"42558"}]},"addresses":[{"purpose":"LOCATION","street_1":"2355 HIGHWAY 36 W","city":"ROSEVILLE","state":"MN","postal_code":"551133905","country_code":"US","street_2":"STE 100","phone":"9528379700","fax":"9528379701"},{"purpose":"MAILING","street_1":"2355 HIGHWAY 36 W","city":"ROSEVILLE","state":"MN","postal_code":"551133905","country_code":"US","street_2":"STE 100","phone":"9528379700","fax":"9528379701"}],"license":{"state":"MN","number":"42558"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"060928500","state":"MN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20060726000019","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"MN","pac_id":"2860397510"},{"enrlmt_id":"I20200723003089","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"WI","pac_id":"2860397510"},{"enrlmt_id":"I20201211001424","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"ND","pac_id":"2860397510"}]},"enumeration_date":"2006-06-10","last_updated":"2021-07-21","_meta":{"source":"NPPES","snapshot_date":"2021-07-21","doc_url":"https://findmynpi.com/api"}}