{
  "npi": "1063764686",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "D.C.",
    "authorized_official_first_name": "SARAH",
    "authorized_official_last_name": "WILKIE",
    "authorized_official_middle_name": "C",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "7607293200",
    "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
    "enumeration_date": "2012-10-05",
    "last_updated": "2012-10-05",
    "organization_name": "BLUE WATER COASTAL, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 1176",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CARDIFF",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "858-509-3993",
      "postal_code": "920077176",
      "state": "CA",
      "telephone_number": "858-509-7999"
    },
    {
      "address_1": "785 GRAND AVE",
      "address_2": "#100",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CARLSBAD",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "760-729-3201",
      "postal_code": "920082370",
      "state": "CA",
      "telephone_number": "760-729-3200"
    }
  ],
  "taxonomies": [
    {
      "code": "111N00000X",
      "desc": "Chiropractor",
      "license": "DC29910",
      "primary": true,
      "state": "CA",
      "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 Chiropractic Providers — Chiropractor",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "35",
        "medicare_type": "Chiropractic"
      }
    ]
  }
}