{"npi":"1902024656","type":"NPI-2","status":"active","name":{"display":"Northshore Incs, LLC","other":[],"organization_name":"NORTHSHORE INCS, LLC","authorised_official":"Chris Tedesco"},"specialty":{"primary_taxonomy":"305S00000X","primary_taxonomy_description":"Point of Service","slug":"point-of-service","schema_org_specialty":"PrimaryCare","all":[{"code":"305S00000X","description":"Point of Service","primary":true,"state":"LA","license":"10386"}]},"addresses":[{"purpose":"LOCATION","street_1":"742 E I 10 SERVICE RD","city":"SLIDELL","state":"LA","postal_code":"704615518","country_code":"US","phone":"9856491605"},{"purpose":"MAILING","street_1":"742 E I 10 SERVICE RD","city":"SLIDELL","state":"LA","postal_code":"704615518","country_code":"US","phone":"9856491605"}],"license":{"state":"LA","number":"10386"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1171956","state":"LA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-04-20","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}