{"npi":"1518199728","type":"NPI-1","status":"active","name":{"display":"Dr. Kimberly Black M.D.","other":[],"first":"KIMBERLY","last":"BLACK","middle":"G","credential":"M.D."},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"208600000X","description":"Surgery","primary":true,"state":"CO","license":"DR.0055768"},{"code":"208600000X","description":"Surgery","primary":false,"state":"CA","license":"A107360"}]},"addresses":[{"purpose":"LOCATION","street_1":"10240 PARK MEADOWS DR","city":"LONE TREE","state":"CO","postal_code":"801245425","country_code":"US","phone":"3033384545"},{"purpose":"MAILING","street_1":"10350 E DAKOTA AVE","city":"DENVER","state":"CO","postal_code":"802471314","country_code":"US"}],"license":{"state":"CO","number":"DR.0055768"},"identifiers":[{"type_code":"01","label":"Other","value":"026664","state":"CO","issuer":"KAISER COMMERCIAL NUMBER"},{"type_code":"05","label":"Medicaid","value":"44972717","state":"CO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20151118000554","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"CO","pac_id":"3476677519"}]},"enumeration_date":"2009-08-20","last_updated":"2021-06-14","_meta":{"source":"NPPES","snapshot_date":"2021-06-14","doc_url":"https://findmynpi.com/api"}}