{"npi":"1912971508","type":"NPI-1","status":"active","name":{"display":"John Hallberg MD","other":[],"first":"JOHN","last":"HALLBERG","middle":"ANDREW","credential":"MD"},"specialty":{"primary_taxonomy":"207X00000X","primary_taxonomy_description":"Orthopaedic Surgery","slug":"orthopedic-surgery","schema_org_specialty":"PlasticSurgery","all":[{"code":"207X00000X","description":"Orthopaedic Surgery","primary":true,"state":"CT","license":"029044"},{"code":"207X00000X","description":"Orthopaedic Surgery","primary":false,"state":"RI","license":"MD07302"},{"code":"207X00000X","description":"Orthopaedic Surgery","primary":false,"state":"WV","license":"22726"},{"code":"207X00000X","description":"Orthopaedic Surgery","primary":false,"state":"NC","license":"2010-00313"},{"code":"207X00000X","description":"Orthopaedic Surgery","primary":false,"state":"ME","license":"TD131075"}]},"addresses":[{"purpose":"LOCATION","street_1":"194 E MAIN ST","city":"FORT KENT","state":"ME","postal_code":"047431428","country_code":"US","phone":"2078345912","fax":"2078345914"},{"purpose":"MAILING","street_1":"194 E MAIN ST","city":"FORT KENT","state":"ME","postal_code":"047431428","country_code":"US","phone":"2078345912","fax":"2078345914"}],"license":{"state":"CT","number":"029044"},"identifiers":[{"type_code":"01","label":"Other","value":"156VW","state":"NC","issuer":"BCBSNC"},{"type_code":"05","label":"Medicaid","value":"3810008679","state":"WV","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20130807000301","type_code":"14-20","type_desc":"PRACTITIONER - ORTHOPEDIC SURGERY","state":"ME","pac_id":"8527972520"}]},"enumeration_date":"2006-02-13","last_updated":"2013-06-24","_meta":{"source":"NPPES","snapshot_date":"2013-06-24","doc_url":"https://findmynpi.com/api"}}