{"result_count":1,"results":[{"addresses":[{"address_1":"777 BANNOCK ST","address_purpose":"MAILING","address_type":"DOM","city":"DENVER","country_code":"US","country_name":"United States","fax_number":"303-602-4168","postal_code":"802044597","state":"CO","telephone_number":"303-643-6494"},{"address_1":"777 BANNOCK ST","address_purpose":"LOCATION","address_type":"DOM","city":"DENVER","country_code":"US","country_name":"United States","fax_number":"303-602-4168","postal_code":"802044597","state":"CO","telephone_number":"303-643-6494"}],"basic":{"certification_date":"2024-09-04","credential":"MD","enumeration_date":"2005-12-29","first_name":"GRAHAM","last_name":"WALLACE","last_updated":"2024-09-04","middle_name":"WILSON","name_prefix":"Dr.","sex":"M","sole_proprietor":"NO","status":"A"},"created_epoch":"1135836232000","endpoints":[{"address_1":"4601 Dale Rd","address_type":"DOM","affiliation":"Y","affiliationName":"The Permanente Medical Group","city":"Modesto","contentOtherDescription":"C-CDA","contentType":"OTHER","contentTypeDescription":"Other","country_code":"US","country_name":"United States","endpoint":"https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq","endpointDescription":"Carequality","endpointType":"SOAP","endpointTypeDescription":"SOAP URL","postal_code":"953569718","state":"CA","use":"HIE","useDescription":"Health Information Exchange (HIE)"}],"enumeration_type":"NPI-1","identifiers":[],"last_updated_epoch":"1725450996000","number":"1063499267","other_names":[],"practiceLocations":[{"address_1":"DAVID GRANT MEDICAL CENTER","address_2":"101 BODIN CIRCLE","address_purpose":"LOCATION","address_type":"DOM","city":"TRAVIS AFB","country_code":"US","country_name":"United States","postal_code":"945351809","state":"CA","telephone_number":"707-423-3040"},{"address_1":"KAISER PERMANENTE","address_2":"4601 DALE RD.","address_purpose":"LOCATION","address_type":"DOM","city":"MODESTO","country_code":"US","country_name":"United States","fax_number":"877-516-6086","postal_code":"95356","state":"CA","telephone_number":"209-735-3290"},{"address_1":"UNIVERSITY OF CALIFORNIA SAN FRANCISCO","address_2":"505 PARNASSUS AVE.","address_purpose":"LOCATION","address_type":"DOM","city":"SAN FRANCISCO","country_code":"US","country_name":"United States","fax_number":"415-885-7445","postal_code":"94143","state":"CA","telephone_number":"415-885-7268"}],"taxonomies":[{"code":"207Q00000X","desc":"Family Medicine","license":"01051128A","primary":false,"state":"IN","taxonomy_group":""},{"code":"2085R0202X","desc":"Radiology, Diagnostic Radiology","license":"01051128A","primary":false,"state":"IN","taxonomy_group":""},{"code":"2085R0202X","desc":"Radiology, Diagnostic Radiology","license":"C142217","primary":false,"state":"CA","taxonomy_group":""},{"code":"2085R0202X","desc":"Radiology, Diagnostic Radiology","license":"DR.0068264","primary":true,"state":"CO","taxonomy_group":""}]}]}