{"npi":"1467437756","type":"NPI-2","status":"active","name":{"display":"Mallard Dental INC","other":[],"organization_name":"MALLARD DENTAL INC","authorised_official":"Konstadina Aralles"},"specialty":{"primary_taxonomy":"1223P0221X","primary_taxonomy_description":"Pediatric Dentistry","slug":"pediatric-dentistry","schema_org_specialty":null,"all":[{"code":"1223P0221X","description":"Pediatric Dentistry","primary":true,"state":"IL","license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"33 S ADDISON RD","city":"ADDISON","state":"IL","postal_code":"601013868","country_code":"US","street_2":"STE 101","phone":"6308344343","fax":"6308346308"},{"purpose":"MAILING","street_1":"33 S ADDISON RD","city":"ADDISON","state":"IL","postal_code":"601013868","country_code":"US","street_2":"STE 101","phone":"6308344343","fax":"6308346308"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"103045","state":"IL","issuer":null},{"type_code":"05","label":"Medicaid","value":"1001079","state":"IL","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-12-09","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}