{"result_count":1,"results":[{"addresses":[{"address_1":"11671 JOLLYVILLE RD STE 104","address_purpose":"LOCATION","address_type":"DOM","city":"AUSTIN","country_code":"US","country_name":"United States","fax_number":"512-345-3928","postal_code":"787594141","state":"TX","telephone_number":"512-345-3599"},{"address_1":"11671 JOLLYVILLE RD STE 104","address_purpose":"MAILING","address_type":"DOM","city":"AUSTIN","country_code":"US","country_name":"United States","fax_number":"512-345-3928","postal_code":"787594141","state":"TX","telephone_number":"512-345-3599"}],"basic":{"authorized_official_credential":"MD","authorized_official_first_name":"ADRIENNE","authorized_official_last_name":"FEASEL","authorized_official_middle_name":"M","authorized_official_telephone_number":"5123453599","authorized_official_title_or_position":"President","enumeration_date":"2017-06-08","last_updated":"2022-07-21","organization_name":"LADERA PARK DERMATOLOGY PA","organizational_subpart":"NO","status":"A"},"created_epoch":"1496927919000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[],"last_updated_epoch":"1658438139000","number":"1225567704","other_names":[{"code":"4","organization_name":"LAKE TRAVIS DERMATOLOGY PA","type":"Former Legal Business Name"}],"practiceLocations":[],"taxonomies":[{"code":"207N00000X","desc":"Dermatology","license":"L2883","primary":true,"state":"TX","taxonomy_group":"193400000X - Single Specialty Group"}]}]}