{"npi":"1306636741","type":"NPI-2","status":"active","name":{"display":"Ccm Specialty Care LLC","other":[],"organization_name":"CCM SPECIALTY CARE LLC","authorised_official":"Christopher Cheng"},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"2080S0012X","description":"Pediatric Sleep Medicine Physician","primary":false,"state":null,"license":null},{"code":"2080B0002X","description":"Pediatric Obesity Medicine Physician","primary":false,"state":null,"license":null},{"code":"2080P0201X","description":"Pediatric Allergy/Immunology Physician","primary":false,"state":null,"license":null},{"code":"2080P0203X","description":"Pediatric Critical Care Medicine Physician","primary":false,"state":null,"license":null},{"code":"2080P0214X","description":"Pediatric Pulmonology Physician","primary":false,"state":null,"license":null},{"code":"2080P0008X","description":"Neurodevelopmental Disabilities","primary":false,"state":null,"license":null},{"code":"2080P0205X","description":"Pediatric Endocrinology Physician","primary":false,"state":null,"license":null},{"code":"2080P0216X","description":"Pediatric Rheumatology Physician","primary":false,"state":null,"license":null},{"code":"2080N0001X","description":"Neonatal-Perinatal Medicine Physician","primary":false,"state":null,"license":null},{"code":"2080P0206X","description":"Pediatric Gastroenterology Physician","primary":false,"state":null,"license":null},{"code":"2080P1004X","description":"Physician Nutrition Specialist (Pediatrics)","primary":false,"state":null,"license":null},{"code":"2080S0010X","description":"Pediatric Sports Medicine Physician","primary":false,"state":null,"license":null},{"code":"2080P0006X","description":"Developmental & Behavioral Pediatrics","primary":false,"state":null,"license":null},{"code":"2080A0000X","description":"Adolescent Medicine","primary":false,"state":null,"license":null},{"code":"208000000X","description":"Pediatrics","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1940 116TH AVE NE STE 200B","city":"BELLEVUE","state":"WA","postal_code":"980043097","country_code":"US","phone":"4252761825","fax":"8557858770"},{"purpose":"MAILING","street_1":"710 S 348TH ST STE B","city":"FEDERAL WAY","state":"WA","postal_code":"980037042","country_code":"US","phone":"4252761825","fax":"2068991299"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20250725001385","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WA","pac_id":"5991212938"}]},"enumeration_date":"2025-05-08","last_updated":"2026-05-14","_meta":{"source":"NPPES","snapshot_date":"2026-05-14","doc_url":"https://findmynpi.com/api"}}