{"npi":"1679907307","type":"NPI-1","status":"active","name":{"display":"Kyle Otteson OD","other":[],"first":"KYLE","last":"OTTESON","middle":"M","credential":"OD"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"ND","license":"714"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 S 5TH ST","city":"BISMARCK","state":"ND","postal_code":"585045675","country_code":"US","phone":"7012223937","fax":"7012228805"},{"purpose":"MAILING","street_1":"200 S 5TH ST","city":"BISMARCK","state":"ND","postal_code":"585045675","country_code":"US","phone":"7012223937","fax":"7012228805"}],"license":{"state":"ND","number":"714"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1450928","state":"ND","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130913000557","type_code":"14-41","type_desc":"PRACTITIONER - OPTOMETRY","state":"ND","pac_id":"0143464008"}]},"enumeration_date":"2013-08-29","last_updated":"2020-12-15","_meta":{"source":"NPPES","snapshot_date":"2020-12-15","doc_url":"https://findmynpi.com/api"}}