{"npi":"1154377091","type":"NPI-1","status":"active","name":{"display":"Keven Mottinger Pac","other":[],"first":"KEVEN","last":"MOTTINGER","middle":"R","credential":"PAC"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"WI","license":"1868"}]},"addresses":[{"purpose":"LOCATION","street_1":"3400 MARKET LN","city":"KENOSHA","state":"WI","postal_code":"531443430","country_code":"US","phone":"2625514600","fax":"2625514630"},{"purpose":"MAILING","street_1":"4536 22ND AVE","city":"KENOSHA","state":"WI","postal_code":"531405917","country_code":"US","phone":"2626560044","fax":"2626532218"}],"license":{"state":"WI","number":"1868"},"identifiers":[{"type_code":"01","label":"Other","value":"12006222","state":null,"issuer":"CAQH"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050916000553","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WI","pac_id":"2163455478"}]},"enumeration_date":"2006-05-25","last_updated":"2020-08-31","_meta":{"source":"NPPES","snapshot_date":"2020-08-31","doc_url":"https://findmynpi.com/api"}}