{"npi":"1669977427","type":"NPI-2","status":"active","name":{"display":"A Country Dentist, PLLC","other":[],"organization_name":"A COUNTRY DENTIST, PLLC","authorised_official":"Pasco Scarpella"},"specialty":{"primary_taxonomy":"261QD0000X","primary_taxonomy_description":"Dental Clinic/Center","slug":"dental-clinic-center","schema_org_specialty":null,"all":[{"code":"261QD0000X","description":"Dental Clinic/Center","primary":true,"state":"CO","license":"106313"}]},"addresses":[{"purpose":"LOCATION","street_1":"107 W 9TH AVE","city":"FORT MORGAN","state":"CO","postal_code":"807012011","country_code":"US","phone":"9708672502","fax":"9708673795"},{"purpose":"MAILING","street_1":"107 W 9TH AVE","city":"FORT MORGAN","state":"CO","postal_code":"807012011","country_code":"US","phone":"9708672502","fax":"9708673795"}],"license":{"state":"CO","number":"106313"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"32871716","state":"CO","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2018-03-26","last_updated":"2018-03-26","_meta":{"source":"NPPES","snapshot_date":"2018-03-26","doc_url":"https://findmynpi.com/api"}}