{"npi":"1457541237","type":"NPI-2","status":"active","name":{"display":"Kingwood Neurology And Sleep PA","other":[],"organization_name":"KINGWOOD NEUROLOGY AND SLEEP PA","authorised_official":"Wendell Grogan"},"specialty":{"primary_taxonomy":"2084N0400X","primary_taxonomy_description":"Neurology","slug":"neurology","schema_org_specialty":"Neurologic","all":[{"code":"2084N0400X","description":"Neurology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"320 KINGWOOD EXECUTIVE DR","city":"KINGWOOD","state":"TX","postal_code":"77339","country_code":"US","street_2":"STE E","phone":"2813595981","fax":"2813593591"},{"purpose":"MAILING","street_1":"PO BOX 9547","city":"BELFAST","state":"ME","postal_code":"049159547","country_code":"US","phone":"2813595981","fax":"2813593591"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"172034401","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050329000295","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"TX","pac_id":"9436105863"}]},"enumeration_date":"2007-07-27","last_updated":"2024-09-09","_meta":{"source":"NPPES","snapshot_date":"2024-09-09","doc_url":"https://findmynpi.com/api"}}