{
  "npi": "1235174764",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "DAVID",
    "authorized_official_last_name": "MARTIN",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "6182579567",
    "authorized_official_title_or_position": "President",
    "enumeration_date": "2006-06-18",
    "last_updated": "2008-04-17",
    "organization_name": "ADVANCED DIAGNOSTIC IMAGING LTD",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "4500 MEMORIAL DR",
      "address_2": "DEPT OF RADIOLOGY",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BELLEVILLE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "622265360",
      "state": "IL",
      "telephone_number": "618-257-9567"
    },
    {
      "address_1": "PO BOX 662",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "EDWARDSVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "405-948-6507",
      "postal_code": "620250662",
      "state": "IL",
      "telephone_number": "405-947-5557"
    }
  ],
  "taxonomies": [
    {
      "code": "2085R0202X",
      "desc": "Radiology, Diagnostic Radiology",
      "license": null,
      "primary": true,
      "state": null,
      "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": "Board-Certified Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)",
    "certifying_board": "American Board of Radiology (ABR) / FRCR",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "30",
        "medicare_type": "Physician/Diagnostic Radiology"
      }
    ]
  }
}