{
  "npi": "1306843529",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2024-06-10",
    "credential": "MD",
    "enumeration_date": "2005-07-01",
    "first_name": "DAREN",
    "last_name": "ANDERSON",
    "last_updated": "2024-06-10",
    "middle_name": "R",
    "name_prefix": "Dr.",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "631 MAIN ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MIDDLETOWN",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "860-638-6842",
      "postal_code": "064572762",
      "state": "CT",
      "telephone_number": "203-599-5081"
    },
    {
      "address_1": "635 MAIN ST",
      "address_2": "ATTN: CREDENTIALING DPT",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MIDDLETOWN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "064572718",
      "state": "CT",
      "telephone_number": "860-347-6971"
    }
  ],
  "taxonomies": [
    {
      "code": "207R00000X",
      "desc": "Internal Medicine",
      "license": "036530",
      "primary": true,
      "state": "CT",
      "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": "Board-Certified Internist (Adult Diagnostic & Chronic Disease Physician)",
    "certifying_board": "American Board of Internal Medicine (ABIM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "11",
        "medicare_type": "Physician/Internal Medicine"
      }
    ]
  }
}