{"npi":"1760460257","type":"NPI-1","status":"active","name":{"display":"Matthew Deller PA-C","other":[],"first":"MATTHEW","last":"DELLER","credential":"PA-C"},"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":"MI","license":"5601003936"}]},"addresses":[{"purpose":"LOCATION","street_1":"33155 ANNAPOLIS ST","city":"WAYNE","state":"MI","postal_code":"481842405","country_code":"US","phone":"7344674042","fax":"7344675500"},{"purpose":"MAILING","street_1":"38935 ANN ARBOR RD","city":"LIVONIA","state":"MI","postal_code":"481503354","country_code":"US","phone":"7346320175","fax":"7346320182"}],"license":{"state":"MI","number":"5601003936"},"identifiers":[{"type_code":"01","label":"Other","value":"11712508","state":null,"issuer":"CAQH"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040518001325","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"MI","pac_id":"5890786040"}]},"enumeration_date":"2006-01-04","last_updated":"2007-10-22","_meta":{"source":"NPPES","snapshot_date":"2007-10-22","doc_url":"https://findmynpi.com/api"}}