{"npi":"1649793407","type":"NPI-2","status":"active","name":{"display":"Eagle Mountain Dental, LLC","other":[],"organization_name":"EAGLE MOUNTAIN DENTAL, LLC","authorised_official":"Mark Murdock"},"specialty":{"primary_taxonomy":"122300000X","primary_taxonomy_description":"Dentist","slug":"dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":true,"state":"UT","license":"4931937"}]},"addresses":[{"purpose":"LOCATION","street_1":"30 E 700 S","city":"BRIGHAM CITY","state":"UT","postal_code":"843023235","country_code":"US","phone":"4357342248","fax":"4357230778"},{"purpose":"MAILING","street_1":"30 E 700 S","city":"BRIGHAM CITY","state":"UT","postal_code":"843023235","country_code":"US","phone":"4357342248","fax":"4357230778"}],"license":{"state":"UT","number":"4931937"},"identifiers":[{"type_code":"01","label":"Other","value":"NA","state":null,"issuer":"GENERAL DENTIST"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2017-07-24","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}