{"npi":"1558094508","type":"NPI-1","status":"active","name":{"display":"Dr. Kevin Wagner DMD","other":[],"first":"KEVIN","last":"WAGNER","middle":"JOSEPH","credential":"DMD"},"specialty":{"primary_taxonomy":"122300000X","primary_taxonomy_description":"Dentist","slug":"dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":true,"state":"ID","license":"D-5422"}]},"addresses":[{"purpose":"LOCATION","street_1":"921 S 8TH AVENUE STOP 8088","city":"POCATELLO","state":"ID","postal_code":"83201","country_code":"US","phone":"6099230168"},{"purpose":"MAILING","street_1":"4170 HAWTHORNE RD APT A307","city":"CHUBBUCK","state":"ID","postal_code":"832022738","country_code":"US"}],"license":{"state":"ID","number":"D-5422"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2022-07-07","last_updated":"2022-07-07","_meta":{"source":"NPPES","snapshot_date":"2022-07-07","doc_url":"https://findmynpi.com/api"}}