{"npi":"1790176949","type":"NPI-2","status":"active","name":{"display":"Weese Dermatology PC","other":[],"organization_name":"WEESE DERMATOLOGY PC","authorised_official":"Kaylan Weese"},"specialty":{"primary_taxonomy":"174400000X","primary_taxonomy_description":"Specialist","slug":"specialist","schema_org_specialty":null,"all":[{"code":"174400000X","description":"Specialist","primary":true,"state":"OR","license":"MD167536"}]},"addresses":[{"purpose":"LOCATION","street_1":"2440 NW EDENBOWER BLVD","city":"ROSEBURG","state":"OR","postal_code":"974718847","country_code":"US","phone":"5419571141","fax":"5419571466"},{"purpose":"MAILING","street_1":"2440 NW EDENBOWER BLVD","city":"ROSEBURG","state":"OR","postal_code":"974718847","country_code":"US","phone":"5419571141","fax":"5419571466"}],"license":{"state":"OR","number":"MD167536"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20150723008402","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OR","pac_id":"5597078238"}]},"enumeration_date":"2015-02-10","last_updated":"2015-02-10","_meta":{"source":"NPPES","snapshot_date":"2015-02-10","doc_url":"https://findmynpi.com/api"}}