{"npi":"1770548554","type":"NPI-1","status":"active","name":{"display":"Dr. Randall Widmaier Dc","other":[],"first":"RANDALL","last":"WIDMAIER","middle":"SCOTT","credential":"DC"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"AZ","license":"4220"}]},"addresses":[{"purpose":"LOCATION","street_1":"5080 N 40TH ST STE 104","city":"PHOENIX","state":"AZ","postal_code":"850182158","country_code":"US","phone":"6029546200","fax":"6029561582"},{"purpose":"MAILING","street_1":"5080 N 40TH ST STE 104","city":"PHOENIX","state":"AZ","postal_code":"850182158","country_code":"US","phone":"6029546200","fax":"6029561582"}],"license":{"state":"AZ","number":"4220"},"identifiers":[{"type_code":"01","label":"Other","value":"1Z3082","state":"AZ","issuer":"HEALTHNET"},{"type_code":"01","label":"Other","value":"AZ0245320","state":"AZ","issuer":"BLUE CROSS/BLUE SHIELD"},{"type_code":"01","label":"Other","value":"818677","state":"AZ","issuer":"APIPA"},{"type_code":"05","label":"Medicaid","value":"426305 55","state":"AZ","issuer":null},{"type_code":"01","label":"Other","value":"4268552","state":"AZ","issuer":"AETNA"},{"type_code":"01","label":"Other","value":"0628191","state":"AZ","issuer":"AETNA HMO"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040322001425","type_code":"14-35","type_desc":"PRACTITIONER - CHIROPRACTIC","state":"AZ","pac_id":"9234020025"}]},"enumeration_date":"2006-04-17","last_updated":"2021-02-18","_meta":{"source":"NPPES","snapshot_date":"2021-02-18","doc_url":"https://findmynpi.com/api"}}