{"npi":"1982974135","type":"NPI-1","status":"active","name":{"display":"Jeffrey Kim DDS","other":[],"first":"JEFFREY","last":"KIM","middle":"MARK","credential":"DDS"},"specialty":{"primary_taxonomy":"1223P0300X","primary_taxonomy_description":"Periodontics","slug":"periodontics","schema_org_specialty":null,"all":[{"code":"1223P0300X","description":"Periodontics","primary":true,"state":"FL","license":"DN13917"}]},"addresses":[{"purpose":"LOCATION","street_1":"4570 S CLYDE MORRIS BLVD","city":"PORT ORANGE","state":"FL","postal_code":"321295401","country_code":"US","street_2":"SUITE 1","phone":"3863224867","fax":"3863223899"},{"purpose":"MAILING","street_1":"4570 S CLYDE MORRIS BLVD","city":"PORT ORANGE","state":"FL","postal_code":"321295401","country_code":"US","street_2":"SUITE 1"}],"license":{"state":"FL","number":"DN13917"},"identifiers":[{"type_code":"01","label":"Other","value":"DN13917","state":"FL","issuer":"STATE LICENSE NUMBER"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190603001997","type_code":"33-C5","type_desc":"ORDER AND REFERRING ONLY - DENTIST","state":"FL","pac_id":"5092048207"}]},"enumeration_date":"2012-01-05","last_updated":"2012-01-05","_meta":{"source":"NPPES","snapshot_date":"2012-01-05","doc_url":"https://findmynpi.com/api"}}