{
  "npi": "1417831801",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2025-08-09",
    "credential": "DDS",
    "enumeration_date": "2025-07-31",
    "first_name": "ILHAM",
    "last_name": "ABDALLA",
    "last_updated": "2025-08-13",
    "sex": "F",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1801 36TH AVE S APT 302",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "GRAND FORKS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "582017280",
      "state": "ND",
      "telephone_number": "612-759-8494"
    },
    {
      "address_1": "1650 45TH ST S STE 108",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FARGO",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "581033247",
      "state": "ND",
      "telephone_number": "701-526-4652"
    }
  ],
  "taxonomies": [
    {
      "code": "1223G0001X",
      "desc": "Dentist, General Practice",
      "license": "2570",
      "primary": true,
      "state": "ND",
      "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 Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)",
    "certifying_board": "American Dental Association (ADA) / State Board of Dental Examiners",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "C5",
        "medicare_type": "Dentist"
      }
    ]
  }
}