{
  "npi": "1467660365",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "dds",
    "enumeration_date": "2007-05-21",
    "first_name": "NICHOLAS",
    "last_name": "AMIGONI",
    "last_updated": "2007-07-08",
    "middle_name": "ANTHONY",
    "name_prefix": "Dr.",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1215 WEST GUNNISON STREET",
      "address_2": "205",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CHICAGO",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "60640",
      "state": "IL",
      "telephone_number": "773-275-7716"
    },
    {
      "address_1": "5999 NEW WILKE RD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "ROLLING MEADOWS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "600084506",
      "state": "IL",
      "telephone_number": "847-437-7676"
    }
  ],
  "taxonomies": [
    {
      "code": "1223P0300X",
      "desc": "Dentist, Periodontics",
      "license": "019018767",
      "primary": true,
      "state": "IL",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": true,
      "status": "EXCLUDED",
      "matches": [
        {
          "name": "NICHOLAS A AMIGONI",
          "npi": "1467660365",
          "specialty": "DENTIST",
          "city": "CHICAGO",
          "state": "IL",
          "excl_type": "1128a1",
          "excl_date": "1995-12-20",
          "statute_desc": "Sec. 1128(a)(1) — Conviction of Program-Related Crimes (Mandatory 5-Yr Min)"
        }
      ],
      "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": []
  }
}