{
  "npi": "1104238955",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "D.D.S., M.S.",
    "authorized_official_first_name": "JU-HAN",
    "authorized_official_last_name": "CHANG",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "7039381187",
    "authorized_official_title_or_position": "Orthodontist/Owner",
    "enumeration_date": "2014-05-28",
    "last_updated": "2014-05-28",
    "organization_name": "ACE ORTHODONTICS, PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "901 FARLEY CT SE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "VIENNA",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "221805916",
      "state": "VA",
      "telephone_number": "703-938-1187"
    },
    {
      "address_1": "2841 HARTLAND RD",
      "address_2": "SUITE 302",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FALLS CHURCH",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "220433500",
      "state": "VA",
      "telephone_number": "703-938-1187"
    }
  ],
  "taxonomies": [
    {
      "code": "261QD0000X",
      "desc": "Clinic/Center, Dental",
      "license": "0401413525",
      "primary": true,
      "state": "VA",
      "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 Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": []
  }
}