{"npi":"1780002436","type":"NPI-1","status":"active","name":{"display":"Beau Kildow MD","other":[],"first":"BEAU","last":"KILDOW","middle":"JACKSON","credential":"MD"},"specialty":{"primary_taxonomy":"207X00000X","primary_taxonomy_description":"Orthopaedic Surgery","slug":"orthopedic-surgery","schema_org_specialty":"PlasticSurgery","all":[{"code":"207X00000X","description":"Orthopaedic Surgery","primary":true,"state":"NE","license":"32634"},{"code":"207X00000X","description":"Orthopaedic Surgery","primary":false,"state":"NC","license":"2019-01041"}]},"addresses":[{"purpose":"LOCATION","street_1":"4014 LEAVENWORTH ST","city":"OMAHA","state":"NE","postal_code":"681051053","country_code":"US","phone":"4025598000"},{"purpose":"MAILING","street_1":"988102 NEBRASKA MEDICAL CTR","city":"OMAHA","state":"NE","postal_code":"681988102","country_code":"US"}],"license":{"state":"NE","number":"32634"},"identifiers":[{"type_code":"01","label":"Other","value":"0397730024","state":"NC","issuer":"NSC#"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20190612002328","type_code":"14-20","type_desc":"PRACTITIONER - ORTHOPEDIC SURGERY","state":"NC","pac_id":"1456684166"},{"enrlmt_id":"I20200723001770","type_code":"14-20","type_desc":"PRACTITIONER - ORTHOPEDIC SURGERY","state":"NE","pac_id":"1456684166"}]},"enumeration_date":"2014-03-31","last_updated":"2020-12-04","_meta":{"source":"NPPES","snapshot_date":"2020-12-04","doc_url":"https://findmynpi.com/api"}}