{"npi":"1962392936","type":"NPI-2","status":"active","name":{"display":"MD Med Spa PLLC","other":[],"organization_name":"MD MED SPA PLLC","authorised_official":"Dhirendra Kumar"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4018 16TH AVE NE","city":"REDMOND","state":"WA","postal_code":"98052","country_code":"US","phone":"4253076727"},{"purpose":"MAILING","street_1":"4018 16TH AVE NE","city":"REDMOND","state":"WA","postal_code":"98052","country_code":"US","phone":"4253076727"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20260116001371","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"WA","pac_id":"0446771661"}]},"enumeration_date":"2025-07-09","last_updated":"2025-07-09","_meta":{"source":"NPPES","snapshot_date":"2025-07-09","doc_url":"https://findmynpi.com/api"}}