{
  "npi": "1457938342",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2024-09-25",
    "enumeration_date": "2021-03-26",
    "first_name": "DANIEL",
    "last_name": "BAK",
    "last_updated": "2024-09-25",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "265 LANDMARK LN APT 11",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "STOWE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "056725287",
      "state": "VT",
      "telephone_number": "802-371-7245"
    },
    {
      "address_1": "111 COLCHESTER AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BURLINGTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "054011473",
      "state": "VT",
      "telephone_number": "802-847-2345"
    }
  ],
  "taxonomies": [
    {
      "code": "207P00000X",
      "desc": "Emergency Medicine",
      "license": "042.0017765",
      "primary": true,
      "state": "VT",
      "taxonomy_group": ""
    },
    {
      "code": "390200000X",
      "desc": "Student in an Organized Health Care Education/Training Program",
      "license": null,
      "primary": false,
      "state": null,
      "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 Emergency Medicine Physician (ER / Trauma Doctor)",
    "certifying_board": "American Board of Emergency Medicine (ABEM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "93",
        "medicare_type": "Physician/Emergency Medicine"
      }
    ]
  }
}