{"npi":"1831537224","type":"NPI-1","status":"active","name":{"display":"Dr. Eric Derovanessian D.D.S","other":[],"first":"ERIC","last":"DEROVANESSIAN","credential":"D.D.S"},"specialty":{"primary_taxonomy":"122300000X","primary_taxonomy_description":"Dentist","slug":"dentist","schema_org_specialty":null,"all":[{"code":"122300000X","description":"Dentist","primary":true,"state":"WA","license":"7600"},{"code":"122300000X","description":"Dentist","primary":false,"state":"CA","license":"39144"}]},"addresses":[{"purpose":"LOCATION","street_1":"15710 NE 24TH ST","city":"BELLEVUE","state":"WA","postal_code":"980082444","country_code":"US","street_2":"SUITE B","phone":"4256446802","fax":"4256441426"},{"purpose":"MAILING","street_1":"15710 NE 24TH ST","city":"BELLEVUE","state":"WA","postal_code":"980082444","country_code":"US","street_2":"SUITE B","phone":"4256446802","fax":"4256441426"}],"license":{"state":"WA","number":"7600"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"5034913","state":"WA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20160406002333","type_code":"33-C5","type_desc":"ORDER AND REFERRING ONLY - DENTIST","state":"WA","pac_id":"0345548327"}]},"enumeration_date":"2013-06-07","last_updated":"2013-06-07","_meta":{"source":"NPPES","snapshot_date":"2013-06-07","doc_url":"https://findmynpi.com/api"}}