{"npi":"1831296888","type":"NPI-2","status":"active","name":{"display":"Total Skin & Beauty Dermatology Center, PC","other":[],"organization_name":"TOTAL SKIN & BEAUTY DERMATOLOGY CENTER, PC","authorised_official":"Chandra Rodivich"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"207N00000X","description":"Dermatology","primary":false,"state":null,"license":null},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1927 1ST AVE N STE 200","city":"BIRMINGHAM","state":"AL","postal_code":"352034050","country_code":"US","phone":"0593309872","fax":"2059301758"},{"purpose":"MAILING","street_1":"2100 16TH AVE S","city":"BIRMINGHAM","state":"AL","postal_code":"352055021","country_code":"US","street_2":"SUITE 202","phone":"2059330987","fax":"2059301758"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040308000296","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AL","pac_id":"9335043033"}]},"enumeration_date":"2006-09-20","last_updated":"2024-01-22","_meta":{"source":"NPPES","snapshot_date":"2024-01-22","doc_url":"https://findmynpi.com/api"}}