{"npi":"1407200694","type":"NPI-1","status":"active","name":{"display":"Tina Park D.D.S., M.S.","other":[],"first":"TINA","last":"PARK","middle":"KEUN NAN","credential":"D.D.S., M.S."},"specialty":{"primary_taxonomy":"1223X0400X","primary_taxonomy_description":"Orthodontics and Dentofacial Orthopedics Dentistry","slug":"orthodontics-and-dentofacial-orthopedics-dentistry","schema_org_specialty":null,"all":[{"code":"1223X0400X","description":"Orthodontics and Dentofacial Orthopedics Dentistry","primary":true,"state":"CA","license":"63253"}]},"addresses":[{"purpose":"LOCATION","street_1":"11011 MERIDIAN AVE N STE 104","city":"SEATTLE","state":"WA","postal_code":"981338967","country_code":"US","phone":"8554336825"},{"purpose":"MAILING","street_1":"6950 NE CAMPUS WAY","city":"HILLSBORO","state":"OR","postal_code":"971245611","country_code":"US","phone":"8554336825"}],"license":{"state":"CA","number":"63253"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20241122004134","type_code":"33-F2","type_desc":"ORDER AND REFERRING ONLY - ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS","state":"WA","pac_id":"2769917079"}]},"enumeration_date":"2016-04-14","last_updated":"2024-11-19","_meta":{"source":"NPPES","snapshot_date":"2024-11-19","doc_url":"https://findmynpi.com/api"}}