{"result_count":1,"results":[{"addresses":[{"address_1":"1200 SIXTH AVE N","address_2":"CENTRACARE CLINIC","address_purpose":"MAILING","address_type":"DOM","city":"ST CLOUD","country_code":"US","country_name":"United States","fax_number":"320-240-2118","postal_code":"563032735","state":"MN","telephone_number":"320-252-5131"},{"address_1":"1406 6TH AVE N","address_purpose":"LOCATION","address_type":"DOM","city":"ST CLOUD","country_code":"US","country_name":"United States","fax_number":"320-255-5714","postal_code":"56303","state":"MN","telephone_number":"320-656-7020"}],"basic":{"credential":"MD","enumeration_date":"2005-08-30","first_name":"DANIEL","last_name":"TIEDE","last_updated":"2024-09-23","middle_name":"JAMES","sex":"M","sole_proprietor":"NO","status":"A"},"created_epoch":"1125421826000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[{"code":"01","desc":"Other (non-Medicare)","identifier":"1025405","issuer":"Preferred One","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"1119213","issuer":"Araz Group/America's PPO","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"119337","issuer":"U-Care","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"2114057","issuer":"First Health Plan","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"2500414","issuer":"Medica Health Plans","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"852362200","issuer":"Medical Assistance (MA)","state":null},{"code":"05","desc":"MEDICAID","identifier":"852362200","issuer":null,"state":"MN"},{"code":"01","desc":"Other (non-Medicare)","identifier":"95D80T1","issuer":"BCBS","state":null},{"code":"01","desc":"Other (non-Medicare)","identifier":"HP31427","issuer":"Health Partners","state":null}],"last_updated_epoch":"1727103317000","number":"1306839949","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"207RC0000X","desc":"Internal Medicine, Cardiovascular Disease","license":"35523","primary":false,"state":"MN","taxonomy_group":""},{"code":"207RI0011X","desc":"Internal Medicine, Interventional Cardiology","license":"35523","primary":true,"state":"MN","taxonomy_group":""}]}]}