{
  "npi": "1336896174",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2022-09-28",
    "enumeration_date": "2022-03-02",
    "first_name": "BENJAMIN",
    "last_name": "ALECKSON",
    "last_updated": "2022-09-28",
    "middle_name": "P",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1160 E 3900 S STE 5000",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "SALT LAKE CITY",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "801-261-7429",
      "postal_code": "841241275",
      "state": "UT",
      "telephone_number": "801-261-7479"
    },
    {
      "address_1": "2950 N CHURCH ST STE 301",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LAYTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "833-643-2775",
      "postal_code": "840406590",
      "state": "UT",
      "telephone_number": "801-771-7771"
    }
  ],
  "taxonomies": [
    {
      "code": "363A00000X",
      "desc": "Physician Assistant",
      "license": "12859980-1206",
      "primary": true,
      "state": "UT",
      "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 Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "97",
        "medicare_type": "Physician Assistant"
      }
    ]
  }
}