{"npi":"1578061925","type":"NPI-2","status":"active","name":{"display":"Bloom Pediatric Dentistry, PLLC","other":[],"organization_name":"BLOOM PEDIATRIC DENTISTRY, PLLC","authorised_official":"Janelle Lee"},"specialty":{"primary_taxonomy":"1223P0221X","primary_taxonomy_description":"Pediatric Dentistry","slug":"pediatric-dentistry","schema_org_specialty":null,"all":[{"code":"1223P0221X","description":"Pediatric Dentistry","primary":true,"state":"AZ","license":"D009485"}]},"addresses":[{"purpose":"LOCATION","street_1":"1900 W GERMANN RD STE 3","city":"CHANDLER","state":"AZ","postal_code":"852866838","country_code":"US","phone":"4808677355","fax":"4809071888"},{"purpose":"MAILING","street_1":"1900 W GERMANN RD STE 3","city":"CHANDLER","state":"AZ","postal_code":"852866838","country_code":"US","phone":"4808677355","fax":"4809071888"}],"license":{"state":"AZ","number":"D009485"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"154524","state":"AZ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2018-01-30","last_updated":"2018-01-30","_meta":{"source":"NPPES","snapshot_date":"2018-01-30","doc_url":"https://findmynpi.com/api"}}