{"npi":"1730856253","type":"NPI-2","status":"active","name":{"display":"Phoenix Health Enterprises PLLC","other":[],"organization_name":"PHOENIX HEALTH ENTERPRISES PLLC","authorised_official":"Mckenzie Peterson"},"specialty":{"primary_taxonomy":"261QP2300X","primary_taxonomy_description":"Primary Care Clinic","slug":"primary-care-clinic","schema_org_specialty":"PrimaryCare","all":[{"code":"261QP2300X","description":"Primary Care Clinic","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"705 E MAIN AVE","city":"BISMARCK","state":"ND","postal_code":"585014525","country_code":"US","phone":"7015024669","fax":"8334903699"},{"purpose":"MAILING","street_1":"PO BOX 7433","city":"BISMARCK","state":"ND","postal_code":"585077433","country_code":"US","phone":"7015024669","fax":"8334933699"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20220621001084","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"MN","pac_id":"2163829961"}]},"enumeration_date":"2021-08-23","last_updated":"2026-01-14","_meta":{"source":"NPPES","snapshot_date":"2026-01-14","doc_url":"https://findmynpi.com/api"}}