{"npi":"1356790851","type":"NPI-1","status":"active","name":{"display":"Dr. Jordan Maxwell DO","other":[],"first":"JORDAN","last":"MAXWELL","credential":"DO"},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"208600000X","description":"Surgery","primary":false,"state":"MI","license":"5101022569"},{"code":"2086S0122X","description":"Plastic and Reconstructive Surgery Physician","primary":false,"state":"MI","license":"5101025758"},{"code":"208600000X","description":"Surgery","primary":true,"state":"IN","license":"02007042A"}]},"addresses":[{"purpose":"LOCATION","street_1":"1701 S CREASY LN","city":"LAFAYETTE","state":"IN","postal_code":"479054972","country_code":"US","phone":"7655024780"},{"purpose":"MAILING","street_1":"PO BOX 781076","city":"DETROIT","state":"MI","postal_code":"482781076","country_code":"US","phone":"3175284800","fax":"3178651479"}],"license":{"state":"IN","number":"02007042A"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20230706003416","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"IL","pac_id":"6305134107"},{"enrlmt_id":"I20230829001636","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"IN","pac_id":"6305134107"}]},"enumeration_date":"2016-06-07","last_updated":"2025-08-11","_meta":{"source":"NPPES","snapshot_date":"2025-08-11","doc_url":"https://findmynpi.com/api"}}