{"npi":"1487095139","type":"NPI-2","status":"active","name":{"display":"Bethel Burris Oliver PLLC","other":[],"organization_name":"BETHEL BURRIS OLIVER PLLC","authorised_official":"Benjamin Burris"},"specialty":{"primary_taxonomy":"1223X0400X","primary_taxonomy_description":"Orthodontics and Dentofacial Orthopedics Dentistry","slug":"orthodontics-and-dentofacial-orthopedics-dentistry","schema_org_specialty":null,"all":[{"code":"1223X0400X","description":"Orthodontics and Dentofacial Orthopedics Dentistry","primary":true,"state":"AR","license":"3465"}]},"addresses":[{"purpose":"LOCATION","street_1":"4375 N VANTAGE DR","city":"FAYETTEVILLE","state":"AR","postal_code":"727034982","country_code":"US","street_2":"SUITE 202","phone":"8709728294","fax":"8707357853"},{"purpose":"MAILING","street_1":"126 W BOND AVE","city":"WEST MEMPHIS","state":"AR","postal_code":"723013909","country_code":"US","phone":"8709728294","fax":"8707357853"}],"license":{"state":"AR","number":"3465"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"190787631","state":"AR","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2013-07-10","last_updated":"2015-05-04","_meta":{"source":"NPPES","snapshot_date":"2015-05-04","doc_url":"https://findmynpi.com/api"}}