{"npi":"1417068248","type":"NPI-1","status":"active","name":{"display":"Jack Deleonardo Pac","other":[],"first":"JACK","last":"DELEONARDO","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":"MT","license":"196"}]},"addresses":[{"purpose":"LOCATION","street_1":"650 E INDIAN SCHOOL RD","city":"PHOENIX","state":"AZ","postal_code":"85012","country_code":"US","street_2":"DEPT VETERANS AFFAIRS","phone":"6022775551"},{"purpose":"MAILING","street_1":"2699 S 167TH DR","city":"GOODYEAR","state":"AZ","postal_code":"853387317","country_code":"US","phone":"4069272221"}],"license":{"state":"MT","number":"196"},"identifiers":[{"type_code":"01","label":"Other","value":"0433296","state":"MT","issuer":"MDCD PIN"},{"type_code":"01","label":"Other","value":"092303","state":"MT","issuer":"BCBS PIN"},{"type_code":"01","label":"Other","value":"12355900","state":"WY","issuer":"MDCD PIN"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150917003099","type_code":"33-97","type_desc":"ORDER AND REFERRING ONLY - PHYSICIAN ASSISTANT","state":"AZ","pac_id":"6901964394"}]},"enumeration_date":"2006-08-31","last_updated":"2016-11-02","_meta":{"source":"NPPES","snapshot_date":"2016-11-02","doc_url":"https://findmynpi.com/api"}}