{"npi":"1053447250","type":"NPI-1","status":"active","name":{"display":"Dr. Kenneth Vanowen M.D.","other":[],"first":"KENNETH","last":"VANOWEN","middle":"RAY","credential":"M.D."},"specialty":{"primary_taxonomy":"2084N0400X","primary_taxonomy_description":"Neurology","slug":"neurology","schema_org_specialty":"Neurologic","all":[{"code":"2084N0400X","description":"Neurology","primary":false,"state":"MO","license":"2007007216"},{"code":"2084N0400X","description":"Neurology","primary":false,"state":"KS","license":"04-34475"},{"code":"2084N0400X","description":"Neurology","primary":false,"state":"IN","license":"01058864A"},{"code":"2084N0400X","description":"Neurology","primary":true,"state":"TX","license":"T0028"}]},"addresses":[{"purpose":"LOCATION","street_1":"4141 VISTA RD","city":"PASADENA","state":"TX","postal_code":"775042113","country_code":"US","phone":"7139473100"},{"purpose":"MAILING","street_1":"4141 VISTA RD","city":"PASADENA","state":"TX","postal_code":"775042113","country_code":"US","phone":"7139473100","fax":"7139476103"}],"license":{"state":"TX","number":"T0028"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"207435009","state":"MO","issuer":null},{"type_code":"05","label":"Medicaid","value":"200533040A","state":"KS","issuer":null},{"type_code":"01","label":"Other","value":"P00427020","state":null,"issuer":"MEDICARE RR PIN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210311000159","type_code":"14-13","type_desc":"PRACTITIONER - NEUROLOGY","state":"TX","pac_id":"6204858319"}]},"enumeration_date":"2007-02-24","last_updated":"2024-09-25","_meta":{"source":"NPPES","snapshot_date":"2024-09-25","doc_url":"https://findmynpi.com/api"}}