{"npi":"1972050870","type":"NPI-2","status":"active","name":{"display":"Southcentral Foundation","other":[],"organization_name":"SOUTHCENTRAL FOUNDATION","authorised_official":"Ronald Olson"},"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":"AK","license":"20467"}]},"addresses":[{"purpose":"LOCATION","street_1":"6901 E TUDOR RD","city":"ANCHORAGE","state":"AK","postal_code":"995071254","country_code":"US","phone":"9077292000"},{"purpose":"MAILING","street_1":"PO BOX 35151","city":"SEATTLE","state":"WA","postal_code":"981245151","country_code":"US"}],"license":{"state":"AK","number":"20467"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1654623","state":"AK","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2016-09-08","last_updated":"2023-09-19","_meta":{"source":"NPPES","snapshot_date":"2023-09-19","doc_url":"https://findmynpi.com/api"}}