{"npi":"1891768057","type":"NPI-1","status":"active","name":{"display":"Dr. Robert Jackson M.D","other":[],"first":"ROBERT","last":"JACKSON","credential":"M.D"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":"MI","license":"4301047106"}]},"addresses":[{"purpose":"LOCATION","street_1":"8338 ALLEN RD","city":"ALLEN PARK","state":"MI","postal_code":"481011399","country_code":"US","street_2":"STE 101","phone":"3133865500","fax":"3133863444"},{"purpose":"MAILING","street_1":"8338 ALLEN RD","city":"ALLEN PARK","state":"MI","postal_code":"481011399","country_code":"US","street_2":"STE 101","phone":"3133865500","fax":"3133863444"}],"license":{"state":"MI","number":"4301047106"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"4545062","state":"MI","issuer":null},{"type_code":"01","label":"Other","value":"080104292","state":"MI","issuer":"RAILROAD MEDICARE"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100925000146","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"MI","pac_id":"1456394303"}]},"enumeration_date":"2006-02-08","last_updated":"2018-05-15","_meta":{"source":"NPPES","snapshot_date":"2018-05-15","doc_url":"https://findmynpi.com/api"}}