{"npi":"1558748871","type":"NPI-1","status":"active","name":{"display":"Shalen Kouk MD","other":[],"first":"SHALEN","last":"KOUK","credential":"MD"},"specialty":{"primary_taxonomy":"207XX0005X","primary_taxonomy_description":"Orthopaedic Sports Medicine","slug":"orthopedic-sports-medicine","schema_org_specialty":"Musculoskeletal","all":[{"code":"207X00000X","description":"Orthopaedic Surgery","primary":false,"state":"AL","license":"MD.40953"},{"code":"207XX0005X","description":"Orthopaedic Sports Medicine","primary":true,"state":"MO","license":"2022039230"}]},"addresses":[{"purpose":"LOCATION","street_1":"12700 SOUTHFORK RD STE 100","city":"SAINT LOUIS","state":"MO","postal_code":"631283201","country_code":"US","phone":"3145435284","fax":"3145435276"},{"purpose":"MAILING","street_1":"12700 SOUTHFORK RD STE 100","city":"SAINT LOUIS","state":"MO","postal_code":"631283201","country_code":"US","phone":"3145435284","fax":"3145435276"}],"license":{"state":"MO","number":"2022039230"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20200825003504","type_code":"14-20","type_desc":"PRACTITIONER - ORTHOPEDIC SURGERY","state":"AL","pac_id":"8325465164"},{"enrlmt_id":"I20221013001621","type_code":"14-20","type_desc":"PRACTITIONER - ORTHOPEDIC SURGERY","state":"MO","pac_id":"8325465164"}]},"enumeration_date":"2015-05-06","last_updated":"2023-03-21","_meta":{"source":"NPPES","snapshot_date":"2023-03-21","doc_url":"https://findmynpi.com/api"}}