{"npi":"1720378482","type":"NPI-1","status":"active","name":{"display":"Casey Reyna D.O.M.","other":[],"first":"CASEY","last":"REYNA","middle":"LUNA","credential":"D.O.M."},"specialty":{"primary_taxonomy":"171100000X","primary_taxonomy_description":"Acupuncturist","slug":"acupuncturist","schema_org_specialty":null,"all":[{"code":"171100000X","description":"Acupuncturist","primary":true,"state":"NM","license":"1051"}]},"addresses":[{"purpose":"LOCATION","street_1":"4700 JEFFERSON ST NE STE 100","city":"ALBUQUERQUE","state":"NM","postal_code":"871092130","country_code":"US","phone":"5059257464"},{"purpose":"MAILING","street_1":"800 BRADBURY DR SE STE 116","city":"ALBUQUERQUE","state":"NM","postal_code":"871064310","country_code":"US","phone":"5052721476","fax":"5052728060"}],"license":{"state":"NM","number":"1051"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1720378482","state":"NM","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2011-04-14","last_updated":"2024-10-11","_meta":{"source":"NPPES","snapshot_date":"2024-10-11","doc_url":"https://findmynpi.com/api"}}