{"npi":"1952489692","type":"NPI-1","status":"active","name":{"display":"Charles Moore MD","other":[],"first":"CHARLES","last":"MOORE","middle":"D.","credential":"MD"},"specialty":{"primary_taxonomy":"207R00000X","primary_taxonomy_description":"Internal Medicine","slug":"internal-medicine","schema_org_specialty":"Internal","all":[{"code":"207R00000X","description":"Internal Medicine","primary":true,"state":"CA","license":"A42921"},{"code":"2084P0802X","description":"Addiction Psychiatry","primary":false,"state":"CA","license":"A42921"}]},"addresses":[{"purpose":"LOCATION","street_1":"6296 CANARY LN","city":"EL DORADO","state":"CA","postal_code":"956234968","country_code":"US","phone":"9162963529"},{"purpose":"MAILING","street_1":"6296 CANARY LN","city":"EL DORADO","state":"CA","postal_code":"956234968","country_code":"US","phone":"9162963529"}],"license":{"state":"CA","number":"A42921"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"00A429210","state":"CA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-11-01","last_updated":"2024-09-22","_meta":{"source":"NPPES","snapshot_date":"2024-09-22","doc_url":"https://findmynpi.com/api"}}