{"result_count":1,"results":[{"addresses":[{"address_1":"111 COLCHESTER AVE","address_purpose":"MAILING","address_type":"DOM","city":"BURLINGTON","country_code":"US","country_name":"United States","postal_code":"054011473","state":"VT","telephone_number":"802-847-0000"},{"address_1":"118 TILLEY DR STE 201","address_purpose":"LOCATION","address_type":"DOM","city":"SOUTH BURLINGTON","country_code":"US","country_name":"United States","fax_number":"802-847-3646","postal_code":"054034450","state":"VT","telephone_number":"802-847-5550"}],"basic":{"certification_date":"2025-12-22","credential":"MD","enumeration_date":"2006-11-21","first_name":"THEODORE","last_name":"WISSINK","last_updated":"2025-12-22","middle_name":"R","name_prefix":"Dr.","sex":"M","sole_proprietor":"NO","status":"A"},"created_epoch":"1164157295000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"30207877","issuer":null,"state":"NH"},{"code":"05","desc":"MEDICAID","identifier":"432952299","issuer":null,"state":"ME"}],"last_updated_epoch":"1766440151000","number":"1124193503","other_names":[],"practiceLocations":[{"address_1":"272 CONGRESS ST","address_purpose":"LOCATION","address_type":"DOM","city":"PORTLAND","country_code":"US","country_name":"United States","fax_number":"207-774-4625","postal_code":"04101","state":"ME","telephone_number":"207-874-2466"}],"taxonomies":[{"code":"207Q00000X","desc":"Family Medicine","license":"017817","primary":false,"state":"ME","taxonomy_group":""},{"code":"207Q00000X","desc":"Family Medicine","license":"042.0019084","primary":true,"state":"VT","taxonomy_group":""}]}]}