{
  "npi": "1154426484",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "CHERI",
    "authorized_official_last_name": "DEROCHIE",
    "authorized_official_middle_name": "ROSE",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "6206156033",
    "authorized_official_title_or_position": "Billing Manager",
    "enumeration_date": "2006-09-13",
    "last_updated": "2010-08-25",
    "organization_name": "CLINTON FOOT & ANKLE CLINIC PC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 0",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CLINTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "517-456-4114",
      "postal_code": "492369502",
      "state": "MI",
      "telephone_number": "517-456-4114"
    },
    {
      "address_1": "1671 W MICHIGAN AVE",
      "address_2": "STE C-1",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CLINTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "517-456-4114",
      "postal_code": "492368702",
      "state": "MI",
      "telephone_number": "517-456-4114"
    }
  ],
  "taxonomies": [
    {
      "code": "213E00000X",
      "desc": "Podiatrist",
      "license": "5901000792",
      "primary": true,
      "state": "MI",
      "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 Podiatric Medicine & Surgery Service Providers — Podiatrist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "48",
        "medicare_type": "Podiatry"
      }
    ]
  }
}