{"npi":"1669726832","type":"NPI-1","status":"active","name":{"display":"Dr. Sinee Distha-Banchong M.D.","other":[{"code":"1","type":"Formerly known as","value":"DISTHABANCHONG, SINEE"}],"first":"SINEE","last":"DISTHA-BANCHONG","credential":"M.D."},"specialty":{"primary_taxonomy":"207RN0300X","primary_taxonomy_description":"Nephrology Physician","slug":"nephrology-physician","schema_org_specialty":null,"all":[{"code":"207RN0300X","description":"Nephrology Physician","primary":true,"state":"MO","license":"2012037985"},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"MO","license":"2012037985"}]},"addresses":[{"purpose":"LOCATION","street_1":"1402 S GRAND BLVD","city":"SAINT LOUIS","state":"MO","postal_code":"631041004","country_code":"US","street_2":"DIVISION OF NEPHROLOGY (9-FDT)","phone":"3145778765"},{"purpose":"MAILING","street_1":"1402 S GRAND BLVD","city":"SAINT LOUIS","state":"MO","postal_code":"631041004","country_code":"US","street_2":"DIVISION OF NEPHROLOGY (9-FDT)","phone":"3145778765"}],"license":{"state":"MO","number":"2012037985"},"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2012-11-09","last_updated":"2012-11-09","_meta":{"source":"NPPES","snapshot_date":"2012-11-09","doc_url":"https://findmynpi.com/api"}}