{"npi":"1093709651","type":"NPI-1","status":"active","name":{"display":"Jack Meyer MD","other":[],"first":"JACK","last":"MEYER","middle":"R","credential":"MD"},"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":"WI","license":"27277"}]},"addresses":[{"purpose":"LOCATION","street_1":"200 PATRIOT DR","city":"LITTLE CHUTE","state":"WI","postal_code":"541401184","country_code":"US","phone":"9206872800"},{"purpose":"MAILING","street_1":"200 PATRIOT DR","city":"LITTLE CHUTE","state":"WI","postal_code":"541401184","country_code":"US","phone":"9206872800"}],"license":{"state":"WI","number":"27277"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"30756500","state":"WI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2005-09-09","last_updated":"2008-09-04","_meta":{"source":"NPPES","snapshot_date":"2008-09-04","doc_url":"https://findmynpi.com/api"}}