{"result_count":1,"results":[{"addresses":[{"address_1":"2323 S 171ST ST STE 100","address_purpose":"MAILING","address_type":"DOM","city":"OMAHA","country_code":"US","country_name":"United States","fax_number":"531-721-2918","postal_code":"681304651","state":"NE","telephone_number":"402-933-0800"},{"address_1":"8601 W DODGE RD STE 240","address_purpose":"LOCATION","address_type":"DOM","city":"OMAHA","country_code":"US","country_name":"United States","fax_number":"513-721-2918","postal_code":"681143430","state":"NE","telephone_number":"402-933-0800"}],"basic":{"authorized_official_first_name":"COLLEEN","authorized_official_last_name":"MCCOY","authorized_official_middle_name":"M","authorized_official_telephone_number":"5317104063","authorized_official_title_or_position":"Practice Administrator","certification_date":"2026-01-05","enumeration_date":"2006-01-18","last_updated":"2026-01-05","organization_name":"MIDWEST DERMATOLOGY CLINIC, P.C.","organizational_subpart":"NO","status":"A"},"created_epoch":"1137599556000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"01","desc":"Other (non-Medicare)","identifier":"2941","issuer":"Blue Cross Blue Shield","state":"NE"},{"code":"01","desc":"Other (non-Medicare)","identifier":"=========","issuer":"Tricare","state":"NE"},{"code":"05","desc":"MEDICAID","identifier":"=========","issuer":null,"state":"NE"},{"code":"01","desc":"Other (non-Medicare)","identifier":"CO3220","issuer":"Rail Road Medicare","state":"NE"}],"last_updated_epoch":"1767649203000","number":"1568442572","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"207N00000X","desc":"Dermatology","license":null,"primary":true,"state":null,"taxonomy_group":"193400000X - Single Specialty Group"}]}]}