{"npi":"1700105046","type":"NPI-1","status":"active","name":{"display":"Ryan Kearney MD","other":[],"first":"RYAN","last":"KEARNEY","middle":"D","credential":"MD"},"specialty":{"primary_taxonomy":"208000000X","primary_taxonomy_description":"Pediatrics","slug":"pediatrics","schema_org_specialty":"Pediatric","all":[{"code":"208000000X","description":"Pediatrics","primary":true,"state":"OR","license":"MD203745"}]},"addresses":[{"purpose":"LOCATION","street_1":"757 E 1ST ST","city":"PRINEVILLE","state":"OR","postal_code":"977542005","country_code":"US","phone":"5413833005","fax":"5413831883"},{"purpose":"MAILING","street_1":"PO BOX 4228","city":"PORTLAND","state":"OR","postal_code":"972084228","country_code":"US","phone":"5413833005","fax":"5413831883"}],"license":{"state":"OR","number":"MD203745"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"500719609","state":"OR","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20210608003320","type_code":"14-37","type_desc":"PRACTITIONER - PEDIATRIC MEDICINE","state":"OR","pac_id":"0345556833"}]},"enumeration_date":"2010-05-26","last_updated":"2024-09-18","_meta":{"source":"NPPES","snapshot_date":"2024-09-18","doc_url":"https://findmynpi.com/api"}}