{"npi":"1932259397","type":"NPI-1","status":"active","name":{"display":"Jack Elvin Denturist","other":[],"first":"JACK","last":"ELVIN","middle":"R","credential":"DENTURIST"},"specialty":{"primary_taxonomy":"122400000X","primary_taxonomy_description":"Denturist","slug":"denturist","schema_org_specialty":null,"all":[{"code":"122400000X","description":"Denturist","primary":true,"state":"OR","license":"DT-DO-609564"}]},"addresses":[{"purpose":"LOCATION","street_1":"1113 HILL ST SE","city":"ALBANY","state":"OR","postal_code":"973223295","country_code":"US","phone":"5419281955"},{"purpose":"MAILING","street_1":"1645 9TH AVE SE","city":"ALBANY","state":"OR","postal_code":"973224872","country_code":"US","street_2":"#286","phone":"5419281955"}],"license":{"state":"OR","number":"DT-DO-609564"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"071696","state":"OR","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-01-10","last_updated":"2007-07-08","_meta":{"source":"NPPES","snapshot_date":"2007-07-08","doc_url":"https://findmynpi.com/api"}}