{"npi":"1457462202","type":"NPI-1","status":"active","name":{"display":"David Civic MD","other":[],"first":"DAVID","last":"CIVIC","credential":"MD"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"AZ","license":"42516"}]},"addresses":[{"purpose":"LOCATION","street_1":"4212 N 16TH ST","city":"PHOENIX","state":"AZ","postal_code":"850165319","country_code":"US","phone":"6022631511","fax":"6022631619"},{"purpose":"MAILING","street_1":"PO BOX 31001-0698","city":"PASADENA","state":"CA","postal_code":"911100698","country_code":"US","phone":"6022631511","fax":"6022631619"}],"license":{"state":"AZ","number":"42516"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"711087","state":"AZ","issuer":null},{"type_code":"01","label":"Other","value":"AZ727300","state":"AZ","issuer":"BLUE CROSS BLUE SHIELD"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200518000851","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"AZ","pac_id":"5092750281"}]},"enumeration_date":"2006-08-31","last_updated":"2014-10-16","_meta":{"source":"NPPES","snapshot_date":"2014-10-16","doc_url":"https://findmynpi.com/api"}}