{"npi":"1669890125","type":"NPI-1","status":"active","name":{"display":"Dr. John Durussel DDS, Ms","other":[],"first":"JOHN","last":"DURUSSEL","middle":"MICHAEL","credential":"DDS, MS"},"specialty":{"primary_taxonomy":"1223X0400X","primary_taxonomy_description":"Orthodontics and Dentofacial Orthopedics Dentistry","slug":"orthodontics-and-dentofacial-orthopedics-dentistry","schema_org_specialty":null,"all":[{"code":"1223X0400X","description":"Orthodontics and Dentofacial Orthopedics Dentistry","primary":true,"state":"CO","license":"DEN.00202186"}]},"addresses":[{"purpose":"LOCATION","street_1":"30960 STAGECOACH BLVD STE W100","city":"EVERGREEN","state":"CO","postal_code":"804397902","country_code":"US","phone":"3036741122"},{"purpose":"MAILING","street_1":"6992 LYNX LAIR RD","city":"EVERGREEN","state":"CO","postal_code":"80439","country_code":"US","phone":"9892844581"}],"license":{"state":"CO","number":"DEN.00202186"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"62350277","state":"CO","issuer":null},{"type_code":"01","label":"Other","value":"DEN.00202186","state":"CO","issuer":"CO DENTAL LICENSE"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2014-04-02","last_updated":"2021-03-18","_meta":{"source":"NPPES","snapshot_date":"2021-03-18","doc_url":"https://findmynpi.com/api"}}