{"npi":"1740349448","type":"NPI-1","status":"active","name":{"display":"Dr. Antoine Panossian DMD","other":[],"first":"ANTOINE","last":"PANOSSIAN","credential":"DMD"},"specialty":{"primary_taxonomy":"204E00000X","primary_taxonomy_description":"Oral & Maxillofacial Surgery (D.M.D.)","slug":"oral-maxillofacial-surgery-d-m-d","schema_org_specialty":null,"all":[{"code":"1223S0112X","description":"Oral and Maxillofacial Surgery (Dentist)","primary":false,"state":"PA","license":"DS036277"},{"code":"204E00000X","description":"Oral & Maxillofacial Surgery (D.M.D.)","primary":true,"state":"NC","license":"201201857"}]},"addresses":[{"purpose":"LOCATION","street_1":"1247 S CEDAR CREST BLVD","city":"ALLENTOWN","state":"PA","postal_code":"181036298","country_code":"US","street_2":"SUITE# 300","phone":"4845506618","fax":"6104320233"},{"purpose":"MAILING","street_1":"4 ROCKBOURNE RD","city":"CLIFTON HEIGHTS","state":"PA","postal_code":"190181739","country_code":"US","street_2":"STE 400","phone":"4844610128","fax":"4844610130"}],"license":{"state":"NC","number":"201201857"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"101236155","state":"PA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20180110003117","type_code":"33-19","type_desc":"ORDER AND REFERRING ONLY - ORAL SURGERY","state":"PA","pac_id":"2365701794"}]},"enumeration_date":"2006-12-08","last_updated":"2018-01-03","_meta":{"source":"NPPES","snapshot_date":"2018-01-03","doc_url":"https://findmynpi.com/api"}}