{"npi":"1639045321","type":"NPI-2","status":"active","name":{"display":"Pioneer Dermatology LLC","other":[],"organization_name":"PIONEER DERMATOLOGY LLC","authorised_official":"Andrew Berg"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1324 NE WINDSOR DR","city":"LEES SUMMIT","state":"MO","postal_code":"640868477","country_code":"US","phone":"8169441944","fax":"8169441030"},{"purpose":"MAILING","street_1":"1324 NE WINDSOR DR","city":"LEES SUMMIT","state":"MO","postal_code":"640868477","country_code":"US","phone":"8169441944","fax":"8169441030"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20260129001441","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MO","pac_id":"6901384163"}]},"enumeration_date":"2025-10-11","last_updated":"2025-11-27","_meta":{"source":"NPPES","snapshot_date":"2025-11-27","doc_url":"https://findmynpi.com/api"}}