{"npi":"1780763300","type":"NPI-1","status":"active","name":{"display":"Dr. Jairo Bastidas DMD","other":[],"first":"JAIRO","last":"BASTIDAS","credential":"DMD"},"specialty":{"primary_taxonomy":"1223S0112X","primary_taxonomy_description":"Oral and Maxillofacial Surgery (Dentist)","slug":"oral-and-maxillofacial-surgery-dentist","schema_org_specialty":null,"all":[{"code":"1223S0112X","description":"Oral and Maxillofacial Surgery (Dentist)","primary":true,"state":"NY","license":"041328"}]},"addresses":[{"purpose":"LOCATION","street_1":"111 E 210TH ST","city":"BRONX","state":"NY","postal_code":"104672401","country_code":"US","phone":"7189204167","fax":"7185155419"},{"purpose":"MAILING","street_1":"90 PALISADE AVE","city":"WHITE PLAINS","state":"NY","postal_code":"106072725","country_code":"US","phone":"7189204167","fax":"7185155419"}],"license":{"state":"NY","number":"041328"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040710000019","type_code":"14-85","type_desc":"PRACTITIONER - MAXILLOFACIAL SURGERY","state":"NY","pac_id":"6709864317"}]},"enumeration_date":"2006-11-03","last_updated":"2007-07-08","_meta":{"source":"NPPES","snapshot_date":"2007-07-08","doc_url":"https://findmynpi.com/api"}}