{"npi":"1174573000","type":"NPI-1","status":"active","name":{"display":"Kevin Cleary D.O.","other":[],"first":"KEVIN","last":"CLEARY","middle":"W.","credential":"D.O."},"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":"AZ","license":"1647"}]},"addresses":[{"purpose":"LOCATION","street_1":"7725 N 43RD AVE STE 720","city":"PHOENIX","state":"AZ","postal_code":"850515772","country_code":"US","phone":"6232075465","fax":"6232075405"},{"purpose":"MAILING","street_1":"7725 N 43RD AVE","city":"PHOENIX","state":"AZ","postal_code":"850515772","country_code":"US","street_2":"STE 720","phone":"6232075465","fax":"6232075405"}],"license":{"state":"AZ","number":"1647"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"241026","state":"AZ","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100609000579","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"AZ","pac_id":"5991722951"}]},"enumeration_date":"2006-05-11","last_updated":"2020-10-09","_meta":{"source":"NPPES","snapshot_date":"2020-10-09","doc_url":"https://findmynpi.com/api"}}