{"npi":"1629322151","type":"NPI-1","status":"active","name":{"display":"Mr. Dallen Johnson Caa. Msa","other":[],"first":"DALLEN","last":"JOHNSON","middle":"M","credential":"CAA. MSA"},"specialty":{"primary_taxonomy":"367H00000X","primary_taxonomy_description":"Anesthesiologist Assistant","slug":"anesthesiologist-assistant","schema_org_specialty":null,"all":[{"code":"367H00000X","description":"Anesthesiologist Assistant","primary":false,"state":"NM","license":"AA2024-0001"},{"code":"367H00000X","description":"Anesthesiologist Assistant","primary":true,"state":"IN","license":"75000078A"}]},"addresses":[{"purpose":"LOCATION","street_1":"3001 BROADMOOR BLVD NE","city":"RIO RANCHO","state":"NM","postal_code":"871442100","country_code":"US","phone":"3852789148"},{"purpose":"MAILING","street_1":"250 N SHADELAND AVE","city":"INDIANAPOLIS","state":"IN","postal_code":"462194959","country_code":"US"}],"license":{"state":"IN","number":"75000078A"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210507000165","type_code":"14-32","type_desc":"PRACTITIONER - ANESTHESIOLOGY ASSISTANT","state":"IN","pac_id":"0042629834"},{"enrlmt_id":"I20231220000808","type_code":"14-32","type_desc":"PRACTITIONER - ANESTHESIOLOGY ASSISTANT","state":"UT","pac_id":"0042629834"},{"enrlmt_id":"I20240724001681","type_code":"14-32","type_desc":"PRACTITIONER - ANESTHESIOLOGY ASSISTANT","state":"NM","pac_id":"0042629834"},{"enrlmt_id":"I20240920001042","type_code":"14-32","type_desc":"PRACTITIONER - ANESTHESIOLOGY ASSISTANT","state":"CO","pac_id":"0042629834"},{"enrlmt_id":"I20250416003614","type_code":"14-32","type_desc":"PRACTITIONER - ANESTHESIOLOGY ASSISTANT","state":"MO","pac_id":"0042629834"}]},"enumeration_date":"2012-11-06","last_updated":"2025-12-01","_meta":{"source":"NPPES","snapshot_date":"2025-12-01","doc_url":"https://findmynpi.com/api"}}