{"npi":"1730636267","type":"NPI-1","status":"active","name":{"display":"Dr. Taras Martyniouk D.M.D.","other":[],"first":"TARAS","last":"MARTYNIOUK","credential":"D.M.D."},"specialty":{"primary_taxonomy":"1223S0112X","primary_taxonomy_description":"Oral and Maxillofacial Surgery (Dentist)","slug":"oral-and-maxillofacial-surgery-dentist","schema_org_specialty":null,"all":[{"code":"1223S0112X","description":"Oral and Maxillofacial Surgery (Dentist)","primary":true,"state":"CA","license":"108875"},{"code":"122300000X","description":"Dentist","primary":false,"state":"IL","license":"019.030683"},{"code":"1223S0112X","description":"Oral and Maxillofacial Surgery (Dentist)","primary":false,"state":"IL","license":"019.030683"}]},"addresses":[{"purpose":"LOCATION","street_1":"101 BODIN CIR","city":"TRAVIS AFB","state":"CA","postal_code":"945351809","country_code":"US","phone":"7074237085"},{"purpose":"MAILING","street_1":"101 BODIN CIR","city":"TRAVIS AFB","state":"CA","postal_code":"945351809","country_code":"US","phone":"7074237085"}],"license":{"state":"CA","number":"108875"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230713004003","type_code":"33-19","type_desc":"ORDER AND REFERRING ONLY - ORAL SURGERY","state":"CA","pac_id":"5092175695"}]},"enumeration_date":"2016-09-01","last_updated":"2024-07-02","_meta":{"source":"NPPES","snapshot_date":"2024-07-02","doc_url":"https://findmynpi.com/api"}}