{"npi":"1497979504","type":"NPI-2","status":"active","name":{"display":"Fairfax Orthodontic Associates, PLLC","other":[],"organization_name":"FAIRFAX ORTHODONTIC ASSOCIATES, PLLC","authorised_official":"Lucy Mccabe"},"specialty":{"primary_taxonomy":"305R00000X","primary_taxonomy_description":"Preferred Provider Organization","slug":"preferred-provider-organization","schema_org_specialty":null,"all":[{"code":"305R00000X","description":"Preferred Provider Organization","primary":true,"state":"VA","license":"0401007980"}]},"addresses":[{"purpose":"LOCATION","street_1":"12011 LEE JACKSON MEMORIAL HWY","city":"FAIRFAX","state":"VA","postal_code":"220333310","country_code":"US","phone":"7036919061"},{"purpose":"MAILING","street_1":"12011 LEE JACKSON MEMORIAL HWY","city":"FAIRFAX","state":"VA","postal_code":"220333310","country_code":"US","phone":"7036919061"}],"license":{"state":"VA","number":"0401007980"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-04-12","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}