{"npi":"1639758980","type":"NPI-1","status":"active","name":{"display":"Nevin Gillis MD","other":[],"first":"NEVIN","last":"GILLIS","credential":"MD"},"specialty":{"primary_taxonomy":"208D00000X","primary_taxonomy_description":"General Practice","slug":"general-practice","schema_org_specialty":"PrimaryCare","all":[{"code":"208D00000X","description":"General Practice","primary":true,"state":"ND","license":"19747"}]},"addresses":[{"purpose":"LOCATION","street_1":"128 FOUSSARD AVE NW","city":"ST JOHN","state":"ND","postal_code":"58369","country_code":"US","phone":"7014773111"},{"purpose":"MAILING","street_1":"104 MAIN ST","city":"TURTLE LAKE","state":"ND","postal_code":"585754001","country_code":"US","phone":"8776093577"}],"license":{"state":"ND","number":"19747"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20231024000240","type_code":"14-01","type_desc":"PRACTITIONER - GENERAL PRACTICE","state":"ND","pac_id":"1052767399"},{"enrlmt_id":"I20240522002311","type_code":"14-01","type_desc":"PRACTITIONER - GENERAL PRACTICE","state":"TX","pac_id":"1052767399"}]},"enumeration_date":"2021-04-05","last_updated":"2023-09-06","_meta":{"source":"NPPES","snapshot_date":"2023-09-06","doc_url":"https://findmynpi.com/api"}}