{
"Npi": {
"NPI": "1053504977",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "MUENCH",
"FirstName": "PETER",
"MiddleName": null,
"NamePrefix": "DR.",
"NameSuffix": null,
"Credential": "D.O.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "955 POWELL AVE SW",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "RENTON",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98057-2908",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "425-277-1311",
"MailingAddressFaxNumber": "425-277-1566",
"FirstLinePracticeLocationAddress": "33431 13TH PL S",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FEDERAL WAY",
"PracticeLocationAddressStateName": "WA",
"PracticeLocationAddressPostalCode": "98003-6357",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "253-874-7634",
"PracticeLocationAddressFaxNumber": "253-874-7635",
"EnumerationDate": "08/23/2007",
"LastUpdateDate": "10/07/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "M",
"Gender": "Male",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "OP60412924",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
},
{
"TaxonomyCode": "207Q00000X",
"TaxonomyName": "Family Medicine Physician",
"LicenseNumber": "DOS-1004",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "207QS0010X",
"TaxonomyName": "Sports Medicine (Family Medicine) Physician",
"LicenseNumber": "2022-01197",
"LicenseNumberStateCode": "NC",
"PrimaryTaxonomySwitch": "N"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}