{"npi":"1497751663","type":"NPI-1","status":"active","name":{"display":"Dr. Kim Pershall MD","other":[],"first":"KIM","last":"PERSHALL","middle":"E","credential":"MD"},"specialty":{"primary_taxonomy":"207Y00000X","primary_taxonomy_description":"Otolaryngology Physician","slug":"otolaryngology-physician","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":false,"state":"TX","license":"J3574"},{"code":"174400000X","description":"Specialist","primary":false,"state":"NM","license":"86103"},{"code":"207Y00000X","description":"Otolaryngology Physician","primary":true,"state":"TX","license":"J3574"},{"code":"207YS0123X","description":"Facial Plastic Surgery Physician","primary":false,"state":"TX","license":"J3574"},{"code":"207YX0602X","description":"Otolaryngic Allergy Physician","primary":false,"state":"TX","license":"J3574"}]},"addresses":[{"purpose":"LOCATION","street_1":"3811 24TH STREET","city":"LUBBOCK","state":"TX","postal_code":"794101813","country_code":"US","phone":"8067960202","fax":"8067960496"},{"purpose":"MAILING","street_1":"3811 24TH STREET","city":"LUBBOCK","state":"TX","postal_code":"794101813","country_code":"US","phone":"8067960202","fax":"8067960496"}],"license":{"state":"TX","number":"J3574"},"identifiers":[{"type_code":"01","label":"Other","value":"121351100","state":"TX","issuer":"FIRSTCARE"},{"type_code":"05","label":"Medicaid","value":"034333701","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"8P8420","state":"TX","issuer":"BCBS TX"},{"type_code":"05","label":"Medicaid","value":"37234","state":"NM","issuer":null},{"type_code":"01","label":"Other","value":"8F21125","state":"TX","issuer":"MEDICARE PTAN"},{"type_code":"01","label":"Other","value":"148127701","state":"TX","issuer":"MEDICAID GROUP"},{"type_code":"01","label":"Other","value":"040007969","state":"TX","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090414000246","type_code":"14-04","type_desc":"PRACTITIONER - OTOLARYNGOLOGY","state":"TX","pac_id":"8123184280"}]},"enumeration_date":"2005-06-22","last_updated":"2011-01-31","_meta":{"source":"NPPES","snapshot_date":"2011-01-31","doc_url":"https://findmynpi.com/api"}}