{"npi":"1619692811","type":"NPI-1","status":"active","name":{"display":"Matthew Lupsan","other":[],"first":"MATTHEW","last":"LUPSAN"},"specialty":{"primary_taxonomy":"1223G0001X","primary_taxonomy_description":"General Practice Dentistry","slug":"general-practice-dentistry","schema_org_specialty":null,"all":[{"code":"390200000X","description":"Student in an Organized Health Care Education/Training Program","primary":false,"state":null,"license":null},{"code":"1223G0001X","description":"General Practice Dentistry","primary":true,"state":"IL","license":"019.034201"}]},"addresses":[{"purpose":"LOCATION","street_1":"6560 W FULLERTON AVE UNIT C106","city":"CHICAGO","state":"IL","postal_code":"60707","country_code":"US","street_2":"STE T","phone":"7733856700"},{"purpose":"MAILING","street_1":"16157 WHITE HAVEN DR","city":"NORTHVILLE","state":"MI","postal_code":"481682326","country_code":"US"}],"license":{"state":"IL","number":"019.034201"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2022-10-10","last_updated":"2023-05-24","_meta":{"source":"NPPES","snapshot_date":"2023-05-24","doc_url":"https://findmynpi.com/api"}}