{"npi":"1891892402","type":"NPI-1","status":"active","name":{"display":"Keith Javery DO","other":[],"first":"KEITH","last":"JAVERY","middle":"B","credential":"DO"},"specialty":{"primary_taxonomy":"208VP0014X","primary_taxonomy_description":"Pain Medicine","slug":"pain-medicine","schema_org_specialty":"Anesthesia","all":[{"code":"208VP0014X","description":"Pain Medicine","primary":true,"state":"MI","license":"5101012927"},{"code":"207LP2900X","description":"Anesthesiology, Pain Medicine","primary":false,"state":"MI","license":"5101012927"}]},"addresses":[{"purpose":"LOCATION","street_1":"710 KENMOOR AVE SE","city":"GRAND RAPIDS","state":"MI","postal_code":"495462379","country_code":"US","street_2":"SUITE 200","phone":"6165887246","fax":"6165887086"},{"purpose":"MAILING","street_1":"710 KENMOOR AVE SE","city":"GRAND RAPIDS","state":"MI","postal_code":"495462379","country_code":"US","street_2":"SUITE 200","phone":"6165887246","fax":"6165887086"}],"license":{"state":"MI","number":"5101012927"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1164664082","state":"MI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20090618000355","type_code":"14-72","type_desc":"PRACTITIONER - PAIN MANAGEMENT","state":"MI","pac_id":"6709772759"}]},"enumeration_date":"2006-09-19","last_updated":"2009-05-27","_meta":{"source":"NPPES","snapshot_date":"2009-05-27","doc_url":"https://findmynpi.com/api"}}