{"npi":"1528092772","type":"NPI-1","status":"active","name":{"display":"Dr. Roy Moen M.D.","other":[{"code":"2","type":"Professional name","value":"MOEN, R. J."}],"first":"ROY","last":"MOEN","middle":"J.","credential":"M.D."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207P00000X","description":"Emergency Medicine","primary":false,"state":"ND","license":"8772"},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"ND","license":"8772"}]},"addresses":[{"purpose":"LOCATION","street_1":"300 N 7TH ST","city":"BISMARCK","state":"ND","postal_code":"585014439","country_code":"US","phone":"7013236000","fax":"7013235918"},{"purpose":"MAILING","street_1":"PO BOX 5074","city":"SIOUX FALLS","state":"SD","postal_code":"571175074","country_code":"US","phone":"6053286585"}],"license":{"state":"ND","number":"8772"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0144636","state":"MT","issuer":null},{"type_code":"05","label":"Medicaid","value":"11585","state":"ND","issuer":null},{"type_code":"01","label":"Other","value":"25718","state":"ND","issuer":"BLUE CROSS OF ND"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20031215000744","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"ND","pac_id":"5597662940"}]},"enumeration_date":"2006-07-11","last_updated":"2025-02-25","_meta":{"source":"NPPES","snapshot_date":"2025-02-25","doc_url":"https://findmynpi.com/api"}}