{"npi":"1659448975","type":"NPI-2","status":"active","name":{"display":"Booth Medical Center PC","other":[],"organization_name":"BOOTH MEDICAL CENTER PC","authorised_official":"Lisa Booth"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"IN","license":"01041550A"}]},"addresses":[{"purpose":"LOCATION","street_1":"2600 N DETROIT ST","city":"LAGRANGE","state":"IN","postal_code":"467611154","country_code":"US","phone":"2604634896","fax":"2604635242"},{"purpose":"MAILING","street_1":"2600 N DETROIT ST","city":"LAGRANGE","state":"IN","postal_code":"467611154","country_code":"US","phone":"2604634896","fax":"2604635242"}],"license":{"state":"IN","number":"01041550A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"100468460","state":"IN","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-11-30","last_updated":"2010-07-20","_meta":{"source":"NPPES","snapshot_date":"2010-07-20","doc_url":"https://findmynpi.com/api"}}