{
  "npi": "1053830554",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "MICHAEL",
    "authorized_official_last_name": "RING",
    "authorized_official_middle_name": "LEE",
    "authorized_official_telephone_number": "2763952536",
    "authorized_official_title_or_position": "President",
    "enumeration_date": "2017-09-15",
    "last_updated": "2017-09-15",
    "organization_name": "COEBURN TAXI SERVICE, INC.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 2357",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "COEBURN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "276-395-2976",
      "postal_code": "242302357",
      "state": "VA",
      "telephone_number": "276-395-2536"
    },
    {
      "address_1": "7430 CANEY RIDGE RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "COEBURN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "276-395-2976",
      "postal_code": "242305122",
      "state": "VA",
      "telephone_number": "276-395-2536"
    }
  ],
  "taxonomies": [
    {
      "code": "344600000X",
      "desc": "Taxi",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "343900000X",
      "desc": "Non-emergency Medical Transport (VAN)",
      "license": null,
      "primary": true,
      "state": null,
      "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 & Credentialed Non-emergency Medical Transport (VAN)",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}