{"npi":"1750110581","type":"NPI-2","status":"active","name":{"display":"Crystal Clear Dental Spa LLC","other":[],"organization_name":"CRYSTAL CLEAR DENTAL SPA LLC","authorised_official":"Jiangian Hu"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"261QD0000X","description":"Dental Clinic/Center","primary":false,"state":null,"license":null},{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"7933 BAYMEADOWS WAY STE 5","city":"JACKSONVILLE","state":"FL","postal_code":"322567514","country_code":"US","phone":"9047312162"},{"purpose":"MAILING","street_1":"7933 BAYMEADOWS WAY STE 5","city":"JACKSONVILLE","state":"FL","postal_code":"322567514","country_code":"US","phone":"9047312162"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2024-07-30","last_updated":"2024-07-30","_meta":{"source":"NPPES","snapshot_date":"2024-07-30","doc_url":"https://findmynpi.com/api"}}