{"npi":"1750101606","type":"NPI-2","status":"active","name":{"display":"Michael R. Wiesner DDS LLC","other":[],"organization_name":"MICHAEL R. WIESNER DDS LLC","authorised_official":"Inger Whittington"},"specialty":{"primary_taxonomy":"1223G0001X","primary_taxonomy_description":"General Practice Dentistry","slug":"general-practice-dentistry","schema_org_specialty":null,"all":[{"code":"1223G0001X","description":"General Practice Dentistry","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"385 BERT KOUNS LOOP STE 700","city":"SHREVEPORT","state":"LA","postal_code":"711068163","country_code":"US","phone":"3186889330","fax":"3182126539"},{"purpose":"MAILING","street_1":"2557 VIKING DR","city":"BOSSIER CITY","state":"LA","postal_code":"711112103","country_code":"US","phone":"3186067622","fax":"3182126539"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2024-10-15","last_updated":"2024-10-15","_meta":{"source":"NPPES","snapshot_date":"2024-10-15","doc_url":"https://findmynpi.com/api"}}