{
  "npi": "1043899453",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2025-09-30",
    "credential": "MD, DMD",
    "enumeration_date": "2021-04-04",
    "first_name": "ANTHONY",
    "last_name": "BURGOIS",
    "last_updated": "2025-09-30",
    "middle_name": "JUSTIN",
    "name_prefix": "Dr.",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1365 CLIFTON RD NE STE 2300",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "ATLANTA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "404-778-5879",
      "postal_code": "303221013",
      "state": "GA",
      "telephone_number": "404-778-4555"
    },
    {
      "address_1": "1364 CLIFTON RD NE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ATLANTA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "404-778-5879",
      "postal_code": "303221059",
      "state": "GA",
      "telephone_number": "404-778-4555"
    }
  ],
  "taxonomies": [
    {
      "code": "390200000X",
      "desc": "Student in an Organized Health Care Education/Training Program",
      "license": "17683",
      "primary": false,
      "state": "GA",
      "taxonomy_group": ""
    },
    {
      "code": "1223G0001X",
      "desc": "Dentist, General Practice",
      "license": "DN123020",
      "primary": true,
      "state": "GA",
      "taxonomy_group": ""
    },
    {
      "code": "204E00000X",
      "desc": "Oral & Maxillofacial Surgery",
      "license": "17683",
      "primary": false,
      "state": "GA",
      "taxonomy_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 Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)",
    "certifying_board": "American Dental Association (ADA) / State Board of Dental Examiners",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "C5",
        "medicare_type": "Dentist"
      }
    ]
  }
}