{
  "npi": "1053657494",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2020-03-17",
    "credential": "PERIODONTIST",
    "enumeration_date": "2012-12-12",
    "first_name": "VANI",
    "last_name": "PAVAN",
    "last_updated": "2020-03-17",
    "sex": "F",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2805 E GRAPEVINE MILLS CIR",
      "address_2": "SUITE 108",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GRAPEVINE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "972-539-8389",
      "postal_code": "760511210",
      "state": "TX",
      "telephone_number": "972-355-8688"
    },
    {
      "address_1": "110 CHURCH ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MARLIN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "766612809",
      "state": "TX",
      "telephone_number": "972-670-4991"
    }
  ],
  "taxonomies": [
    {
      "code": "1223P0300X",
      "desc": "Dentist, Periodontics",
      "license": "28582",
      "primary": true,
      "state": "TX",
      "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": []
  }
}