{
  "npi": "1124308952",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "DC",
    "authorized_official_first_name": "JAKE",
    "authorized_official_last_name": "LANDRETH",
    "authorized_official_middle_name": "W",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "9185218888",
    "authorized_official_title_or_position": "Owner",
    "enumeration_date": "2011-08-24",
    "last_updated": "2014-10-30",
    "organization_name": "GOODSPINE PLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 877",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SKIATOOK",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "918-553-8802",
      "postal_code": "740700877",
      "state": "OK",
      "telephone_number": "918-371-2848"
    },
    {
      "address_1": "111 S 11TH ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "COLLINSVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "918-553-8802",
      "postal_code": "740213128",
      "state": "OK",
      "telephone_number": "991-837-1284"
    }
  ],
  "taxonomies": [
    {
      "code": "261Q00000X",
      "desc": "Clinic/Center",
      "license": "4002",
      "primary": true,
      "state": "OK",
      "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": [
      {
        "medicare_code": "70",
        "medicare_type": "Clinic or Group Practice"
      }
    ]
  }
}