{"npi":"1962061671","type":"NPI-1","status":"active","name":{"display":"Thaddeus Keklak Dc","other":[],"first":"THADDEUS","last":"KEKLAK","credential":"DC"},"specialty":{"primary_taxonomy":"111N00000X","primary_taxonomy_description":"Chiropractor","slug":"chiropractor","schema_org_specialty":null,"all":[{"code":"111N00000X","description":"Chiropractor","primary":true,"state":"PA","license":"DC011478"}]},"addresses":[{"purpose":"LOCATION","street_1":"911 ANDERSON ST","city":"BRISTOL","state":"TN","postal_code":"376202105","country_code":"US","phone":"4237642663","fax":"4237931100"},{"purpose":"MAILING","street_1":"911 ANDERSON ST","city":"BRISTOL","state":"TN","postal_code":"376202105","country_code":"US","phone":"4237642663","fax":"4237931100"}],"license":{"state":"PA","number":"DC011478"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20240621000676","type_code":"14-35","type_desc":"PRACTITIONER - CHIROPRACTIC","state":"TN","pac_id":"3476887050"}]},"enumeration_date":"2019-06-07","last_updated":"2024-05-16","_meta":{"source":"NPPES","snapshot_date":"2024-05-16","doc_url":"https://findmynpi.com/api"}}