{"npi":"1326200692","type":"NPI-1","status":"active","name":{"display":"Nicholas Greiner D.O.","other":[],"first":"NICHOLAS","last":"GREINER","middle":"AUSTIN","credential":"D.O."},"specialty":{"primary_taxonomy":"207QS0010X","primary_taxonomy_description":"Sports Medicine (Family Medicine) Physician","slug":"sports-medicine-family-medicine-physician","schema_org_specialty":null,"all":[{"code":"207QS0010X","description":"Sports Medicine (Family Medicine) Physician","primary":true,"state":"MO","license":"2011005769"}]},"addresses":[{"purpose":"LOCATION","street_1":"15945 CLAYTON RD STE 210","city":"BALLWIN","state":"MO","postal_code":"630112491","country_code":"US","phone":"3689313606","fax":"6368931362"},{"purpose":"MAILING","street_1":"PO BOX 776084","city":"CHICAGO","state":"IL","postal_code":"606776084","country_code":"US","phone":"6368931360","fax":"6368931362"}],"license":{"state":"MO","number":"2011005769"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20120820000689","type_code":"14-23","type_desc":"PRACTITIONER - SPORTS MEDICINE","state":"MO","pac_id":"5991952392"}]},"enumeration_date":"2008-06-27","last_updated":"2024-02-01","_meta":{"source":"NPPES","snapshot_date":"2024-02-01","doc_url":"https://findmynpi.com/api"}}