{"npi":"1790733475","type":"NPI-1","status":"active","name":{"display":"Carolyn Vandiver MD","other":[],"first":"CAROLYN","last":"VANDIVER","middle":"JILL","credential":"MD"},"specialty":{"primary_taxonomy":"2085R0202X","primary_taxonomy_description":"Diagnostic Radiology","slug":"diagnostic-radiology","schema_org_specialty":"Radiography","all":[{"code":"2085R0202X","description":"Diagnostic Radiology","primary":true,"state":"TX","license":"K8548"}]},"addresses":[{"purpose":"LOCATION","street_1":"1750 NORTH HAMPTON ROAD","city":"DESOTO","state":"TX","postal_code":"751152306","country_code":"US","phone":"2149464397","fax":"2149464399"},{"purpose":"MAILING","street_1":"1750 NORTH HAMPTON ROAD","city":"DESOTO","state":"TX","postal_code":"751152306","country_code":"US","phone":"2149464397","fax":"2149464399"}],"license":{"state":"TX","number":"K8548"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"104934803","state":"TX","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20041202000245","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"TX","pac_id":"7911963988"}]},"enumeration_date":"2006-05-04","last_updated":"2013-03-11","_meta":{"source":"NPPES","snapshot_date":"2013-03-11","doc_url":"https://findmynpi.com/api"}}