{"npi":"1942469713","type":"NPI-2","status":"active","name":{"display":"Times Square Dental","other":[],"organization_name":"TIMES SQUARE DENTAL","authorised_official":"Jon Hastings"},"specialty":{"primary_taxonomy":"1223G0001X","primary_taxonomy_description":"General Practice Dentistry","slug":"general-practice-dentistry","schema_org_specialty":null,"all":[{"code":"1223G0001X","description":"General Practice Dentistry","primary":true,"state":"ID","license":"D3254"}]},"addresses":[{"purpose":"LOCATION","street_1":"1529 S TIMES SQUARE CRT","city":"BOISE","state":"ID","postal_code":"83709","country_code":"US","phone":"2083431981"},{"purpose":"MAILING","street_1":"1529 S TIMES SQUARE CRT","city":"BOISE","state":"ID","postal_code":"83709","country_code":"US","street_2":"STE 100","phone":"2083431981","fax":"2086729067"}],"license":{"state":"ID","number":"D3254"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"804158500","state":"ID","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2008-06-05","last_updated":"2008-06-05","_meta":{"source":"NPPES","snapshot_date":"2008-06-05","doc_url":"https://findmynpi.com/api"}}