{"npi":"1629410444","type":"NPI-2","status":"active","name":{"display":"Dennis U Atienza DO LLC","other":[],"organization_name":"DENNIS U ATIENZA DO LLC","authorised_official":"Dennis Atienza"},"specialty":{"primary_taxonomy":"207V00000X","primary_taxonomy_description":"Obstetrics & Gynecology","slug":"ob-gyn","schema_org_specialty":"Obstetric","all":[{"code":"207V00000X","description":"Obstetrics & Gynecology","primary":true,"state":"IN","license":"0200425A"}]},"addresses":[{"purpose":"LOCATION","street_1":"1401 MEMORIAL AVE","city":"WASHINGTON","state":"IN","postal_code":"475013153","country_code":"US","street_2":"SUITE B","phone":"8122542400","fax":"8122543191"},{"purpose":"MAILING","street_1":"1401 MEMORIAL AVE","city":"WASHINGTON","state":"IN","postal_code":"475013153","country_code":"US","street_2":"SUITE B","phone":"8122542400","fax":"8122543191"}],"license":{"state":"IN","number":"0200425A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"201210430A","state":"IN","issuer":null},{"type_code":"01","label":"Other","value":"000000833372","state":"IN","issuer":"BLUE CROSS/BLUE SHIELD"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2013-07-22","last_updated":"2014-02-26","_meta":{"source":"NPPES","snapshot_date":"2014-02-26","doc_url":"https://findmynpi.com/api"}}