{"npi":"1720463532","type":"NPI-1","status":"active","name":{"display":"Jentry O'daniel PA","other":[],"first":"JENTRY","last":"O'DANIEL","middle":"E","credential":"PA"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":false,"state":"KY","license":"TC391"},{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"IN","license":"10002254A"}]},"addresses":[{"purpose":"LOCATION","street_1":"13121 OLIO RD STE 300","city":"FISHERS","state":"IN","postal_code":"460377240","country_code":"US","phone":"3176211310"},{"purpose":"MAILING","street_1":"6626 E 75TH ST STE 500","city":"INDIANAPOLIS","state":"IN","postal_code":"462502890","country_code":"US"}],"license":{"state":"IN","number":"10002254A"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"300003519","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20170825002947","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"IN","pac_id":"1557679008"}]},"enumeration_date":"2015-07-22","last_updated":"2026-01-19","_meta":{"source":"NPPES","snapshot_date":"2026-01-19","doc_url":"https://findmynpi.com/api"}}