{"npi":"1861832644","type":"NPI-1","status":"active","name":{"display":"Jacob Jackson D.O.","other":[],"first":"JACOB","last":"JACKSON","credential":"D.O."},"specialty":{"primary_taxonomy":"208600000X","primary_taxonomy_description":"Surgery","slug":"surgery","schema_org_specialty":"Surgical","all":[{"code":"208600000X","description":"Surgery","primary":true,"state":"MO","license":"2015012493"}]},"addresses":[{"purpose":"LOCATION","street_1":"12266 DE PAUL DR STE 305","city":"BRIDGETON","state":"MO","postal_code":"630442514","country_code":"US","phone":"3147700991"},{"purpose":"MAILING","street_1":"PO BOX 955534","city":"SAINT LOUIS","state":"MO","postal_code":"631955534","country_code":"US"}],"license":{"state":"MO","number":"2015012493"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20150615002389","type_code":"14-02","type_desc":"PRACTITIONER - GENERAL SURGERY","state":"MO","pac_id":"2264743400"}]},"enumeration_date":"2013-06-26","last_updated":"2020-11-10","_meta":{"source":"NPPES","snapshot_date":"2020-11-10","doc_url":"https://findmynpi.com/api"}}