{"npi":"1689085821","type":"NPI-1","status":"active","name":{"display":"Dr. Joshua Damian M.D.","other":[],"first":"JOSHUA","last":"DAMIAN","middle":"RUBEN","credential":"M.D."},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"208600000X","description":"Surgery","primary":true,"state":"AZ","license":"61003"},{"code":"208600000X","description":"Surgery","primary":false,"state":"IA","license":"MD-55270"}]},"addresses":[{"purpose":"LOCATION","street_1":"77 W FOREST AVE STE 201","city":"FLAGSTAFF","state":"AZ","postal_code":"860011483","country_code":"US","phone":"9287732222"},{"purpose":"MAILING","street_1":"77 W FOREST AVE STE 201","city":"FLAGSTAFF","state":"AZ","postal_code":"860011483","country_code":"US","phone":"9287732222"}],"license":{"state":"AZ","number":"61003"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20201026002901","type_code":"14-93","type_desc":"PRACTITIONER - EMERGENCY MEDICINE","state":"AZ","pac_id":"2264796762"},{"enrlmt_id":"I20250814002316","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"IA","pac_id":"2264796762"}]},"enumeration_date":"2014-05-09","last_updated":"2025-07-24","_meta":{"source":"NPPES","snapshot_date":"2025-07-24","doc_url":"https://findmynpi.com/api"}}