{"npi":"1679974232","type":"NPI-2","status":"active","name":{"display":"Phoenix Dental Center PLLC","other":[],"organization_name":"PHOENIX DENTAL CENTER PLLC","authorised_official":"Jason Nordean"},"specialty":{"primary_taxonomy":"122300000X","primary_taxonomy_description":"Dentist","slug":"dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":true,"state":"AZ","license":"8657"}]},"addresses":[{"purpose":"LOCATION","street_1":"1950 W INDIAN SCHOOL RD STE 6","city":"PHOENIX","state":"AZ","postal_code":"850155114","country_code":"US","phone":"6026501700","fax":"6026501704"},{"purpose":"MAILING","street_1":"1950 W INDIAN SCHOOL RD STE 6","city":"PHOENIX","state":"AZ","postal_code":"850155114","country_code":"US","phone":"6026501700","fax":"6026501704"}],"license":{"state":"AZ","number":"8657"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"816919","state":"AZ","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2014-09-12","last_updated":"2014-09-12","_meta":{"source":"NPPES","snapshot_date":"2014-09-12","doc_url":"https://findmynpi.com/api"}}