{"npi":"1972612588","type":"NPI-2","status":"active","name":{"display":"Conklin & Doersch DDS INC","other":[],"organization_name":"CONKLIN & DOERSCH DDS INC","authorised_official":"Drema Southern"},"specialty":{"primary_taxonomy":"122300000X","primary_taxonomy_description":"Dentist","slug":"dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1607 MARYLAND AVE","city":"BLUEFIELD","state":"WV","postal_code":"24701","country_code":"US","phone":"3043248703","fax":"3043248735"},{"purpose":"MAILING","street_1":"1607 MARYLAND AVE","city":"BLUEFIELD","state":"WV","postal_code":"24701","country_code":"US","phone":"3043248703","fax":"3043248735"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"3810002955","state":"WV","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-08-29","last_updated":"2012-09-20","_meta":{"source":"NPPES","snapshot_date":"2012-09-20","doc_url":"https://findmynpi.com/api"}}