{"npi":"1437484276","type":"NPI-2","status":"active","name":{"display":"Avalon Health LLC","other":[],"organization_name":"AVALON HEALTH LLC","authorised_official":"William Oloughlin"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"MD","license":"S01866"}]},"addresses":[{"purpose":"LOCATION","street_1":"811 RUSSELL AVE STE B","city":"GAITHERSBURG","state":"MD","postal_code":"208793524","country_code":"US","phone":"3019870111","fax":"2406689463"},{"purpose":"MAILING","street_1":"811 RUSSELL AVE STE B","city":"GAITHERSBURG","state":"MD","postal_code":"208793524","country_code":"US","phone":"3019870111","fax":"3019870114"}],"license":{"state":"MD","number":"S01866"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"030459000","state":"MD","issuer":null},{"type_code":"05","label":"Medicaid","value":"1225127384","state":"MD","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2009-10-13","last_updated":"2019-12-16","_meta":{"source":"NPPES","snapshot_date":"2019-12-16","doc_url":"https://findmynpi.com/api"}}