{"npi":"1972596633","type":"NPI-2","status":"active","name":{"display":"Aa Pain Clinic, Inc.","other":[],"organization_name":"AA PAIN CLINIC, INC.","authorised_official":"Leon Chandler"},"specialty":{"primary_taxonomy":"208VP0000X","primary_taxonomy_description":"Pain Medicine Physician","slug":"pain-medicine-physician","schema_org_specialty":null,"all":[{"code":"208VP0000X","description":"Pain Medicine Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4100 LAKE OTIS PKWY","city":"ANCHORAGE","state":"AK","postal_code":"995085222","country_code":"US","street_2":"SUITE 216","phone":"9075632873","fax":"9075635852"},{"purpose":"MAILING","street_1":"PO BOX 202113","city":"ANCHORAGE","state":"AK","postal_code":"995202113","country_code":"US","phone":"9079298704","fax":"9079298744"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"MDG444","state":"AK","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20040216000359","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"AK","pac_id":"7911892443"}]},"enumeration_date":"2005-08-29","last_updated":"2020-08-22","_meta":{"source":"NPPES","snapshot_date":"2020-08-22","doc_url":"https://findmynpi.com/api"}}