{"npi":"1780884569","type":"NPI-1","status":"active","name":{"display":"Shane Ridge D.O.","other":[],"first":"SHANE","last":"RIDGE","middle":"THOMAS","credential":"D.O."},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"CT","license":"045427"}]},"addresses":[{"purpose":"LOCATION","street_1":"250 FLAT ROCK PL","city":"WESTBROOK","state":"CT","postal_code":"064981565","country_code":"US","street_2":"2ND FL","phone":"8603583640","fax":"8603588656"},{"purpose":"MAILING","street_1":"28 CRESCENT ST","city":"MIDDLETOWN","state":"CT","postal_code":"064573654","country_code":"US","phone":"8603584820","fax":"8603588661"}],"license":{"state":"CT","number":"045427"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"008024237","state":"CT","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20080416000010","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"CT","pac_id":"8224116306"}]},"enumeration_date":"2007-07-20","last_updated":"2017-04-11","_meta":{"source":"NPPES","snapshot_date":"2017-04-11","doc_url":"https://findmynpi.com/api"}}