{"npi":"1699200220","type":"NPI-2","status":"active","name":{"display":"Farwest Dental Group","other":[],"organization_name":"FARWEST DENTAL GROUP","authorised_official":"Hassan Fayoumi"},"specialty":{"primary_taxonomy":"122300000X","primary_taxonomy_description":"Dentist","slug":"dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":true,"state":"CA","license":"52604"}]},"addresses":[{"purpose":"LOCATION","street_1":"1704 N AVALON BLVD","city":"WILMINGTON","state":"CA","postal_code":"907441433","country_code":"US","phone":"3108355130","fax":"3108356090"},{"purpose":"MAILING","street_1":"1704 N AVALON BLVD","city":"WILMINGTON","state":"CA","postal_code":"907441433","country_code":"US","phone":"3108355130","fax":"3108356090"}],"license":{"state":"CA","number":"52604"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"G8983901","state":"CA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2017-04-20","last_updated":"2017-04-20","_meta":{"source":"NPPES","snapshot_date":"2017-04-20","doc_url":"https://findmynpi.com/api"}}