{"npi":"1649229394","type":"NPI-2","status":"active","name":{"display":"Jordan Developmental Pediatrics PC","other":[],"organization_name":"JORDAN DEVELOPMENTAL PEDIATRICS PC","authorised_official":"Timothy Jordan"},"specialty":{"primary_taxonomy":"2080P0006X","primary_taxonomy_description":"Developmental & Behavioral Pediatrics","slug":"developmental-behavioral-pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"2080P0006X","description":"Developmental & Behavioral Pediatrics","primary":true,"state":"AZ","license":"26988"}]},"addresses":[{"purpose":"LOCATION","street_1":"21031 N CAVE CREEK RD","city":"PHOENIX","state":"AZ","postal_code":"850245525","country_code":"US","street_2":"STE F4","phone":"6029563141","fax":"6027951671"},{"purpose":"MAILING","street_1":"21031 N CAVE CREEK RD","city":"PHOENIX","state":"AZ","postal_code":"850245525","country_code":"US","street_2":"STE F4","phone":"6029563141","fax":"6027951671"}],"license":{"state":"AZ","number":"26988"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"508658","state":"AZ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-05-09","last_updated":"2008-04-18","_meta":{"source":"NPPES","snapshot_date":"2008-04-18","doc_url":"https://findmynpi.com/api"}}