{
  "npi": "1003111923",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "ALAN",
    "authorized_official_last_name": "DURKIN",
    "authorized_official_middle_name": "J",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "7722343700",
    "authorized_official_title_or_position": "Owner",
    "certification_date": "2021-11-10",
    "enumeration_date": "2011-01-25",
    "last_updated": "2021-11-10",
    "organization_name": "ADVANCED FACIAL COSMETIC & LASER SURGERY CENTER, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "5070 HIGHWAY A1A",
      "address_2": "SUITE A",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "VERO BEACH",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "772-234-3770",
      "postal_code": "329631400",
      "state": "FL",
      "telephone_number": "772-234-3700"
    },
    {
      "address_1": "5070 HIGHWAY A1A",
      "address_2": "SUITE A",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "VERO BEACH",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "772-234-3770",
      "postal_code": "329631400",
      "state": "FL",
      "telephone_number": "772-234-3700"
    }
  ],
  "taxonomies": [
    {
      "code": "207N00000X",
      "desc": "Dermatology",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "207ND0101X",
      "desc": "Dermatology, MOHS-Micrographic Surgery",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208200000X",
      "desc": "Plastic Surgery",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208600000X",
      "desc": "Surgery",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "2086X0206X",
      "desc": "Surgery, Surgical Oncology",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208200000X",
      "desc": "Plastic Surgery",
      "license": "ME99004",
      "primary": true,
      "state": "FL",
      "taxonomy_group": "193400000X - Single Specialty Group"
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": false,
      "status": "CLEAR",
      "matches": [],
      "totalDbRecords": 84224
    },
    "cms_pecos_eligibility": {
      "note": "Not listed in CMS Order & Referring PECOS file or institutional NPI-2"
    }
  },
  "medicare_utilization": null,
  "enrichment": {
    "plain_english_specialty": "Licensed & Credentialed Allopathic & Osteopathic Physicians — Plastic Surgery",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "02",
        "medicare_type": "Physician/General Surgery"
      },
      {
        "medicare_code": "24",
        "medicare_type": "Physician/Plastic and Reconstructive Surgery"
      }
    ]
  }
}