{
  "npi": "1245425974",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "MD",
    "enumeration_date": "2007-09-06",
    "first_name": "KENT",
    "last_name": "ANDRE",
    "last_updated": "2010-07-27",
    "middle_name": "DOUGLAS",
    "name_prefix": "Dr.",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "516 W DARTMOUTH ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "VERMILLION",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "570691924",
      "state": "SD",
      "telephone_number": "605-624-6489"
    },
    {
      "address_1": "1400 W 22ND ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SIOUX FALLS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "571051505",
      "state": "SD",
      "telephone_number": "605-357-1300"
    }
  ],
  "taxonomies": [
    {
      "code": "2084P0800X",
      "desc": "Psychiatry & Neurology, Psychiatry",
      "license": "7583",
      "primary": true,
      "state": "SD",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": true,
      "status": "EXCLUDED",
      "matches": [
        {
          "name": "KENT DOUGLAS ANDRE",
          "npi": "1245425974",
          "specialty": "LICENSED PRACTITIONE",
          "city": "VERMILLION",
          "state": "SD",
          "excl_type": "1128b4",
          "excl_date": "2017-10-19",
          "statute_desc": "Sec. 1128(b)(4) — License Revocation, Suspension, or Surrender"
        }
      ],
      "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 Psychiatrist (Mental Health & Behavioral Medicine Physician)",
    "certifying_board": "American Board of Psychiatry and Neurology (ABPN)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "26",
        "medicare_type": "Physician/Psychiatry"
      },
      {
        "medicare_code": "86",
        "medicare_type": "Physician/Neuropsychiatry"
      }
    ]
  }
}