{
  "npi": "1083937122",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "ANTHONY",
    "authorized_official_last_name": "BAMONTE",
    "authorized_official_middle_name": "DAVID",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "3103472752",
    "authorized_official_title_or_position": "Owner",
    "enumeration_date": "2010-03-03",
    "last_updated": "2010-03-03",
    "organization_name": "ADB MEDICAL SUPPLIES LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "121 HARRISON AVE",
      "address_2": "SUITE 3",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "HARRISON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "513-202-1370",
      "postal_code": "450302307",
      "state": "OH",
      "telephone_number": "310-347-2752"
    },
    {
      "address_1": "121 HARRISON AVE",
      "address_2": "SUITE 3",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "HARRISON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "513-202-1370",
      "postal_code": "450302307",
      "state": "OH",
      "telephone_number": "310-347-2752"
    }
  ],
  "taxonomies": [
    {
      "code": "332BN1400X",
      "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
      "license": "2882411",
      "primary": true,
      "state": "OH",
      "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 Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}