{"npi":"1659523694","type":"NPI-2","status":"active","name":{"display":"Teton Hearing Center LLC","other":[],"organization_name":"TETON HEARING CENTER LLC","authorised_official":"Eliza Petersen"},"specialty":{"primary_taxonomy":"231H00000X","primary_taxonomy_description":"Audiologist","slug":"audiologist","schema_org_specialty":null,"all":[{"code":"231H00000X","description":"Audiologist","primary":false,"state":"ID","license":"AUD1142"},{"code":"237600000X","description":"Audiologist-Hearing Aid Fitter","primary":false,"state":"WY","license":"A-974"},{"code":"237600000X","description":"Audiologist-Hearing Aid Fitter","primary":false,"state":"ID","license":"AUD1142"},{"code":"231H00000X","description":"Audiologist","primary":true,"state":"WY","license":"A-974"}]},"addresses":[{"purpose":"LOCATION","street_1":"50 SKI HILL RD.","city":"DRIGGS","state":"ID","postal_code":"83422","country_code":"US","phone":"2085698787","fax":"2083542656"},{"purpose":"MAILING","street_1":"P.O. BOX 692","city":"DRIGGS","state":"ID","postal_code":"83422","country_code":"US","phone":"2085698787","fax":"2083542656"}],"license":{"state":"WY","number":"A-974"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"125563100","state":"WY","issuer":null},{"type_code":"05","label":"Medicaid","value":"807694600","state":"ID","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-10-22","last_updated":"2008-10-22","_meta":{"source":"NPPES","snapshot_date":"2008-10-22","doc_url":"https://findmynpi.com/api"}}