{"npi":"1942394820","type":"NPI-2","status":"active","name":{"display":"Dental Associates Of Tuscaloosa LLC","other":[],"organization_name":"DENTAL ASSOCIATES OF TUSCALOOSA LLC","authorised_official":"Jerry Fikes"},"specialty":{"primary_taxonomy":"122300000X","primary_taxonomy_description":"Dentist","slug":"dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":false,"state":"AL","license":"3162"},{"code":"1223G0001X","description":"General Practice Dentistry","primary":false,"state":null,"license":null},{"code":"122300000X","description":"Dentist","primary":true,"state":"AL","license":"5177"}]},"addresses":[{"purpose":"LOCATION","street_1":"217 MCFARLAND CIRCLE NORTH","city":"TUSCALOOSA","state":"AL","postal_code":"34506","country_code":"US","phone":"2053457755","fax":"2053439075"},{"purpose":"MAILING","street_1":"217 MCFARLAND CIRCLE NORTH","city":"TUSCALOOSA","state":"AL","postal_code":"34506","country_code":"US","phone":"2053457755","fax":"2053439075"}],"license":{"state":"AL","number":"5177"},"identifiers":[{"type_code":"01","label":"Other","value":"51506076","state":"AL","issuer":"BLUE CROSS BLUE SHIELD"},{"type_code":"01","label":"Other","value":"51526480","state":"AL","issuer":"BLUE CROSS BLUE SHIELD"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-10-03","last_updated":"2025-09-11","_meta":{"source":"NPPES","snapshot_date":"2025-09-11","doc_url":"https://findmynpi.com/api"}}