{"npi":"1962420315","type":"NPI-1","status":"active","name":{"display":"Dr. Sam Smith D.O.","other":[],"first":"SAM","last":"SMITH","middle":"P","credential":"D.O."},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":"AZ","license":"4237"}]},"addresses":[{"purpose":"LOCATION","street_1":"4915 EAST BASELINE ROAD","city":"GILBERT","state":"AZ","postal_code":"852342966","country_code":"US","street_2":"SUITE 102","phone":"4806468660","fax":"4806468665"},{"purpose":"MAILING","street_1":"4915 EAST BASELINE ROAD","city":"GILBERT","state":"AZ","postal_code":"852342966","country_code":"US","street_2":"SUITE 102","phone":"4806468660","fax":"4806468665"}],"license":{"state":"AZ","number":"4237"},"identifiers":[{"type_code":"01","label":"Other","value":"11458639","state":"AZ","issuer":"CAQH"},{"type_code":"05","label":"Medicaid","value":"117012","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-07-01T15:01:53.235063+00:00","enrollments":[{"enrlmt_id":"I20050622000215","type_code":"14-07","type_desc":"PRACTITIONER - DERMATOLOGY","state":"AZ","pac_id":"3072558998"}]},"enumeration_date":"2006-07-17","last_updated":"2013-08-16","_meta":{"source":"NPPES","snapshot_date":"2013-08-16","doc_url":"https://findmynpi.com/api"}}