{"npi":"1669907911","type":"NPI-1","status":"active","name":{"display":"Jack Tian M.D.","other":[],"first":"JACK","last":"TIAN","middle":"JIAKUN","credential":"M.D."},"specialty":{"primary_taxonomy":"207W00000X","primary_taxonomy_description":"Ophthalmology Physician","slug":"ophthalmology-physician","schema_org_specialty":null,"all":[{"code":"207W00000X","description":"Ophthalmology Physician","primary":false,"state":"OR","license":"MD204184"},{"code":"207W00000X","description":"Ophthalmology Physician","primary":true,"state":"WA","license":"MD61252434"}]},"addresses":[{"purpose":"LOCATION","street_1":"325 9TH AVE","city":"SEATTLE","state":"WA","postal_code":"981042420","country_code":"US","phone":"2065205000"},{"purpose":"MAILING","street_1":"PO BOX 50095","city":"SEATTLE","state":"WA","postal_code":"981455095","country_code":"US","phone":"2065205700"}],"license":{"state":"WA","number":"MD61252434"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1669907911","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210504002700","type_code":"14-18","type_desc":"PRACTITIONER - OPHTHALMOLOGY","state":"OR","pac_id":"9537578588"},{"enrlmt_id":"I20220407001644","type_code":"14-18","type_desc":"PRACTITIONER - OPHTHALMOLOGY","state":"WA","pac_id":"9537578588"}]},"enumeration_date":"2017-04-25","last_updated":"2023-01-31","_meta":{"source":"NPPES","snapshot_date":"2023-01-31","doc_url":"https://findmynpi.com/api"}}