{"npi":"1447576749","type":"NPI-2","status":"active","name":{"display":"Russell L. Casement, DDS","other":[],"organization_name":"RUSSELL L. CASEMENT, DDS","authorised_official":"Russell Casement"},"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":false,"state":"CO","license":"8658"},{"code":"1223G0001X","description":"General Practice Dentistry","primary":true,"state":"CO","license":"3674"}]},"addresses":[{"purpose":"LOCATION","street_1":"1355 S COLORADO BLVD STE 320","city":"DENVER","state":"CO","postal_code":"802223316","country_code":"US","phone":"3037580866","fax":"3037583657"},{"purpose":"MAILING","street_1":"1355 S COLORADO BLVD STE 320","city":"DENVER","state":"CO","postal_code":"802223316","country_code":"US","phone":"3037580866","fax":"3037583657"}],"license":{"state":"CO","number":"3674"},"identifiers":[{"type_code":"01","label":"Other","value":"1679575740","state":"CO","issuer":"INDIVIDUAL NPI"},{"type_code":"01","label":"Other","value":"1083619035","state":"CO","issuer":"INDIVIDUAL NPI"},{"type_code":"05","label":"Medicaid","value":"02036747","state":"CO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20170829001869","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CO","pac_id":"4385917236"}]},"enumeration_date":"2010-04-12","last_updated":"2010-04-12","_meta":{"source":"NPPES","snapshot_date":"2010-04-12","doc_url":"https://findmynpi.com/api"}}