{"npi":"1609875830","type":"NPI-2","status":"active","name":{"display":"Aurora Pediatric Dentistry, Prof. LLC","other":[],"organization_name":"AURORA PEDIATRIC DENTISTRY, PROF. LLC","authorised_official":"David Hayutin"},"specialty":{"primary_taxonomy":"1223P0221X","primary_taxonomy_description":"Pediatric Dentistry","slug":"pediatric-dentistry","schema_org_specialty":null,"all":[{"code":"1223P0221X","description":"Pediatric Dentistry","primary":false,"state":"WY","license":"915"},{"code":"1223P0221X","description":"Pediatric Dentistry","primary":true,"state":"CO","license":"6181"}]},"addresses":[{"purpose":"LOCATION","street_1":"5657 S HIMALAYA ST","city":"AURORA","state":"CO","postal_code":"800155307","country_code":"US","street_2":"STE 200","phone":"7208860808","fax":"7208860994"},{"purpose":"MAILING","street_1":"5657 S HIMALAYA ST","city":"AURORA","state":"CO","postal_code":"800155307","country_code":"US","street_2":"STE 200","phone":"7208860808","fax":"7208860994"}],"license":{"state":"CO","number":"6181"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"38006219","state":"CO","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-07-19","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}