{
  "npi": "1316354368",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "M.D.",
    "authorized_official_first_name": "BEN",
    "authorized_official_last_name": "PARK",
    "authorized_official_middle_name": "H.",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "3175806314",
    "authorized_official_title_or_position": "President and CEO",
    "enumeration_date": "2014-07-22",
    "last_updated": "2014-07-22",
    "organization_name": "AMERICAN HEALTH NETWORK OF INDIANA",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "AMERICAN HEALTH NETWORK OF INDIANA, LLC",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "10689 N PENNSYLVANIA ST",
      "address_2": "SUITE 200",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "INDIANAPOLIS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "317-580-6307",
      "postal_code": "462801070",
      "state": "IN",
      "telephone_number": "317-580-6307"
    },
    {
      "address_1": "775 MANCHESTER AVE STE B",
      "address_2": "FORD METER BOX - SUPERIOR HEALTH",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WABASH",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "260-569-3586",
      "postal_code": "469921420",
      "state": "IN",
      "telephone_number": "260-569-3757"
    }
  ],
  "taxonomies": [
    {
      "code": "332900000X",
      "desc": "Non-Pharmacy Dispensing Site",
      "license": "01031965A",
      "primary": true,
      "state": "IN",
      "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 & Credentialed Non-Pharmacy Dispensing Site",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}