{"npi":"1932182201","type":"NPI-1","status":"active","name":{"display":"Dr. Kenneth Johnson M.D.","other":[],"first":"KENNETH","last":"JOHNSON","middle":"TRAVIS","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":"LA","license":"017148"}]},"addresses":[{"purpose":"LOCATION","street_1":"2812 HIGHWAY 28 E","city":"PINEVILLE","state":"LA","postal_code":"713605715","country_code":"US","phone":"3185283355","fax":"3185283356"},{"purpose":"MAILING","street_1":"919 HIDDEN RDG","city":"IRVING","state":"TX","postal_code":"750383813","country_code":"US","phone":"4692822711","fax":"4692820996"}],"license":{"state":"LA","number":"017148"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1356280","state":"LA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20051219000867","type_code":"14-08","type_desc":"PRACTITIONER - FAMILY PRACTICE","state":"LA","pac_id":"2769404706"}]},"enumeration_date":"2005-11-21","last_updated":"2017-04-03","_meta":{"source":"NPPES","snapshot_date":"2017-04-03","doc_url":"https://findmynpi.com/api"}}