{"result_count":1,"results":[{"addresses":[{"address_1":"250 N SHADELAND AVE","address_2":"SUITE 130, PROVIDER ENROLLMENT","address_purpose":"MAILING","address_type":"DOM","city":"INDIANAPOLIS","country_code":"US","country_name":"United States","postal_code":"462194959","state":"IN"},{"address_1":"1000 S MAIN ST","address_purpose":"LOCATION","address_type":"DOM","city":"TIPTON","country_code":"US","country_name":"United States","fax_number":"765-675-6704","postal_code":"460729753","state":"IN","telephone_number":"765-675-8391"}],"basic":{"certification_date":"2025-12-11","credential":"M.D.","enumeration_date":"2006-05-31","first_name":"JAMES","last_name":"DAVIDSON","last_updated":"2025-12-11","middle_name":"RILEY","name_prefix":"--","name_suffix":"--","sex":"M","sole_proprietor":"NO","status":"A"},"created_epoch":"1149108592000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[{"code":"01","desc":"Other (non-Medicare)","identifier":"000000851775","issuer":"Anthem PIN","state":"IN"},{"code":"05","desc":"MEDICAID","identifier":"0259647","issuer":null,"state":"OH"},{"code":"05","desc":"MEDICAID","identifier":"200377830","issuer":null,"state":"IN"},{"code":"05","desc":"MEDICAID","identifier":"807143000","issuer":null,"state":"ID"}],"last_updated_epoch":"1765460079000","number":"1669419693","other_names":[],"practiceLocations":[{"address_1":"2101 DUBOIS DR","address_purpose":"LOCATION","address_type":"DOM","city":"WARSAW","country_code":"US","country_name":"United States","postal_code":"465803210","state":"IN","telephone_number":"574-267-3200"},{"address_1":"2520 E DUPONT RD","address_purpose":"LOCATION","address_type":"DOM","city":"FORT WAYNE","country_code":"US","country_name":"United States","postal_code":"468251675","state":"IN","telephone_number":"260-416-3000"},{"address_1":"6515 STELLHORN RD","address_purpose":"LOCATION","address_type":"DOM","city":"FORT WAYNE","country_code":"US","country_name":"United States","postal_code":"468155436","state":"IN","telephone_number":"260-458-3212"},{"address_1":"702 VAN BUREN ST","address_purpose":"LOCATION","address_type":"DOM","city":"FORT WAYNE","country_code":"US","country_name":"United States","postal_code":"468023697","state":"IN","telephone_number":"260-425-3000"}],"taxonomies":[{"code":"207P00000X","desc":"Emergency Medicine","license":"01054498A","primary":false,"state":"IN","taxonomy_group":""},{"code":"207P00000X","desc":"Emergency Medicine","license":"12137","primary":true,"state":"MT","taxonomy_group":""},{"code":"207P00000X","desc":"Emergency Medicine","license":"M9214","primary":false,"state":"ID","taxonomy_group":""}]}]}