{"npi":"1962405449","type":"NPI-1","status":"active","name":{"display":"Dr. John Lavelle Mb, Bch, Frcsi","other":[],"first":"JOHN","last":"LAVELLE","middle":"PAUL","credential":"MB, BCH, FRCSI"},"specialty":{"primary_taxonomy":"208800000X","primary_taxonomy_description":"Urology Physician","slug":"urology-physician","schema_org_specialty":null,"all":[{"code":"208800000X","description":"Urology Physician","primary":true,"state":"NC","license":"200000870"}]},"addresses":[{"purpose":"LOCATION","street_1":"3801 MIRANDA AVE","city":"PALO ALTO","state":"CA","postal_code":"943041207","country_code":"US","street_2":"B3-117 BLDG 100 UROLOGY (#112)","phone":"6504935000","fax":"6508490319"},{"purpose":"MAILING","street_1":"3801 MIRANDA AVE","city":"PALO ALTO","state":"CA","postal_code":"943041207","country_code":"US","street_2":"B3-117 BLDG 100 UROLOGY (#112)","phone":"6504935000","fax":"6508490319"}],"license":{"state":"NC","number":"200000870"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"89126KY","state":"NC","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120904000170","type_code":"33-34","type_desc":"ORDER AND REFERRING ONLY - UROLOGY","state":"CA","pac_id":"5698954691"}]},"enumeration_date":"2005-05-27","last_updated":"2008-09-15","_meta":{"source":"NPPES","snapshot_date":"2008-09-15","doc_url":"https://findmynpi.com/api"}}