{"npi":"1780017889","type":"NPI-1","status":"active","name":{"display":"Dr. Molly Tegerdine D.D.S","other":[],"first":"MOLLY","last":"TEGERDINE","middle":"ELIZABETH","credential":"D.D.S"},"specialty":{"primary_taxonomy":"122300000X","primary_taxonomy_description":"Dentist","slug":"dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":true,"state":"MO","license":"2013016375"},{"code":"1223G0001X","description":"General Practice Dentistry","primary":false,"state":"MO","license":"2013016375"}]},"addresses":[{"purpose":"LOCATION","street_1":"1001 W WORLEY ST","city":"COLUMBIA","state":"MO","postal_code":"652032037","country_code":"US","phone":"8448538937"},{"purpose":"MAILING","street_1":"1800 COMMUNITY","city":"CLINTON","state":"MO","postal_code":"647358804","country_code":"US","phone":"6608858131"}],"license":{"state":"MO","number":"2013016375"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"400042605","state":"MO","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200527002502","type_code":"14-C5","type_desc":"PRACTITIONER - DENTIST","state":"MO","pac_id":"3870883044"}]},"enumeration_date":"2013-08-13","last_updated":"2022-09-13","_meta":{"source":"NPPES","snapshot_date":"2022-09-13","doc_url":"https://findmynpi.com/api"}}