{"npi":"1730116872","type":"NPI-1","status":"active","name":{"display":"Charles Davenport MD","other":[],"first":"CHARLES","last":"DAVENPORT","middle":"J","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"FL","license":"ME60801"}]},"addresses":[{"purpose":"LOCATION","street_1":"512 NOKOMIS AVE S","city":"VENICE","state":"FL","postal_code":"342852817","country_code":"US","phone":"9414887781","fax":"9414868991"},{"purpose":"MAILING","street_1":"PO BOX 1508","city":"VENICE","state":"FL","postal_code":"342841508","country_code":"US","phone":"9414887781","fax":"9414849235"}],"license":{"state":"FL","number":"ME60801"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"262992500","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040324000823","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"FL","pac_id":"1557252822"}]},"enumeration_date":"2006-06-26","last_updated":"2011-09-09","_meta":{"source":"NPPES","snapshot_date":"2011-09-09","doc_url":"https://findmynpi.com/api"}}