{"npi":"1649618059","type":"NPI-1","status":"active","name":{"display":"Mary Johnston DO","other":[{"code":"1","type":"Formerly known as","value":"JOY, MARY J"}],"first":"MARY","last":"JOHNSTON","middle":"J","credential":"DO"},"specialty":{"primary_taxonomy":"204D00000X","primary_taxonomy_description":"Neuromusculoskeletal Medicine & OMM Physician","slug":"neuromusculoskeletal-medicine-omm-physician","schema_org_specialty":null,"all":[{"code":"207Q00000X","description":"Family Medicine","primary":false,"state":"AK","license":"111064"},{"code":"204D00000X","description":"Neuromusculoskeletal Medicine & OMM Physician","primary":true,"state":"AK","license":"111064"}]},"addresses":[{"purpose":"LOCATION","street_1":"1919 LATHROP ST","city":"FAIRBANKS","state":"AK","postal_code":"997015937","country_code":"US","phone":"9074582619","fax":"9073741089"},{"purpose":"MAILING","street_1":"PO BOX 73720","city":"FAIRBANKS","state":"AK","postal_code":"997073720","country_code":"US","phone":"9074582619","fax":"9073741089"}],"license":{"state":"AK","number":"111064"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1652171","state":"AK","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20161102000353","type_code":"14-12","type_desc":"PRACTITIONER - OSTEOPATHIC MANIPULATIVE MEDICINE","state":"AK","pac_id":"9234417882"}]},"enumeration_date":"2013-06-07","last_updated":"2025-10-20","_meta":{"source":"NPPES","snapshot_date":"2025-10-20","doc_url":"https://findmynpi.com/api"}}