{"npi":"1669477154","type":"NPI-1","status":"active","name":{"display":"Fred Shorter D.D.S.","other":[{"code":"2","type":"Professional name","value":"SHORTER, FRED"}],"first":"FRED","last":"SHORTER","credential":"D.D.S."},"specialty":{"primary_taxonomy":"1223G0001X","primary_taxonomy_description":"General Practice Dentistry","slug":"general-practice-dentistry","schema_org_specialty":null,"all":[{"code":"1223G0001X","description":"General Practice Dentistry","primary":true,"state":"MI","license":"2901010185"}]},"addresses":[{"purpose":"LOCATION","street_1":"20100 W MCNICHOLS RD","city":"DETROIT","state":"MI","postal_code":"482193374","country_code":"US","phone":"3132552150","fax":"3132556152"},{"purpose":"MAILING","street_1":"20100 W MCNICHOLS RD","city":"DETROIT","state":"MI","postal_code":"482193374","country_code":"US","phone":"3132552150","fax":"3132556152"}],"license":{"state":"MI","number":"2901010185"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"4199929","state":"MI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-06-20","last_updated":"2007-07-08","_meta":{"source":"NPPES","snapshot_date":"2007-07-08","doc_url":"https://findmynpi.com/api"}}