{"npi":"1669902615","type":"NPI-1","status":"active","name":{"display":"Fawwaz Alotaibi","other":[{"code":"2","type":"Professional name","value":"ALOTAIBI, FAWWAZ"}],"first":"FAWWAZ","last":"ALOTAIBI","middle":"FAIZ"},"specialty":{"primary_taxonomy":"122300000X","primary_taxonomy_description":"Dentist","slug":"dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":true,"state":"MS","license":"3917-17"}]},"addresses":[{"purpose":"LOCATION","street_1":"6161 EDSALL RD APT 1608","city":"ALEXANDRIA","state":"VA","postal_code":"223044141","country_code":"US","phone":"4044319587"},{"purpose":"MAILING","street_1":"6161 EDSALL RD APT 1608","city":"ALEXANDRIA","state":"VA","postal_code":"223044141","country_code":"US","phone":"4044319587"}],"license":{"state":"MS","number":"3917-17"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200622000304","type_code":"14-C5","type_desc":"PRACTITIONER - DENTIST","state":"MS","pac_id":"0547682551"}]},"enumeration_date":"2017-06-13","last_updated":"2022-07-21","_meta":{"source":"NPPES","snapshot_date":"2022-07-21","doc_url":"https://findmynpi.com/api"}}