{"npi":"1013689132","type":"NPI-2","status":"active","name":{"display":"Mckibben Enterprises, LLC","other":[],"organization_name":"MCKIBBEN ENTERPRISES, LLC","authorised_official":"Sean Mckibben"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"193 W SCHROCK RD","city":"WESTERVILLE","state":"OH","postal_code":"430812890","country_code":"US","phone":"6144201012"},{"purpose":"MAILING","street_1":"193 W SCHROCK RD","city":"WESTERVILLE","state":"OH","postal_code":"430812890","country_code":"US","phone":"6149426986"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20220110000433","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OH","pac_id":"5698167310"},{"enrlmt_id":"O20230120000354","type_code":"30-70","type_desc":"DME SUPPLIER - MULTI-SPECIALTY - PHYSICIAN","state":"OH","pac_id":"5698167310"}]},"enumeration_date":"2021-09-28","last_updated":"2026-02-11","_meta":{"source":"NPPES","snapshot_date":"2026-02-11","doc_url":"https://findmynpi.com/api"}}