{"npi":"1447583661","type":"NPI-2","status":"active","name":{"display":"Andre Widodo DDS A Professional Corporation","other":[],"organization_name":"ANDRE WIDODO DDS A PROFESSIONAL CORPORATION","authorised_official":"Andre Widodo"},"specialty":{"primary_taxonomy":"261QD0000X","primary_taxonomy_description":"Dental Clinic/Center","slug":"dental-clinic-center","schema_org_specialty":null,"all":[{"code":"261QD0000X","description":"Dental Clinic/Center","primary":true,"state":"CA","license":"46152"}]},"addresses":[{"purpose":"LOCATION","street_1":"11635 VALLEY BLVD STE E","city":"EL MONTE","state":"CA","postal_code":"917323071","country_code":"US","phone":"6264447645","fax":"6264447628"},{"purpose":"MAILING","street_1":"11635 VALLEY BLVD STE E","city":"EL MONTE","state":"CA","postal_code":"917323071","country_code":"US","phone":"6264447645","fax":"6264447628"}],"license":{"state":"CA","number":"46152"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2009-09-08","last_updated":"2009-09-08","_meta":{"source":"NPPES","snapshot_date":"2009-09-08","doc_url":"https://findmynpi.com/api"}}