{"npi":"1972028488","type":"NPI-1","status":"active","name":{"display":"Dr. Sudarvizhi Sivaraman D.M.D","other":[],"first":"SUDARVIZHI","last":"SIVARAMAN","credential":"D.M.D"},"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":"MI","license":"2901022465"}]},"addresses":[{"purpose":"LOCATION","street_1":"21219 MACK AVE","city":"GROSSE POINTE WOODS","state":"MI","postal_code":"482361045","country_code":"US","phone":"3138827961"},{"purpose":"MAILING","street_1":"21219 MACK AVE","city":"GROSSE POINTE WOODS","state":"MI","postal_code":"482361045","country_code":"US","phone":"3138827961"}],"license":{"state":"MI","number":"2901022465"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20171114003728","type_code":"33-C5","type_desc":"ORDER AND REFERRING ONLY - DENTIST","state":"MI","pac_id":"3779849336"}]},"enumeration_date":"2017-08-04","last_updated":"2024-05-23","_meta":{"source":"NPPES","snapshot_date":"2024-05-23","doc_url":"https://findmynpi.com/api"}}