{
  "npi": "1487843231",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "BRIAN",
    "authorized_official_last_name": "MITCHELL",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "5738889094",
    "authorized_official_title_or_position": "PRESIDENT",
    "enumeration_date": "2007-10-17",
    "last_updated": "2007-11-14",
    "organization_name": "ARCADIA EGO INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "123 1ST ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "KENNETT",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "573-888-5946",
      "postal_code": "638572051",
      "state": "MO",
      "telephone_number": "573-888-9094"
    },
    {
      "address_1": "123 1ST ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "KENNETT",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "573-888-5946",
      "postal_code": "638572051",
      "state": "MO",
      "telephone_number": "573-888-9094"
    }
  ],
  "taxonomies": [
    {
      "code": "332B00000X",
      "desc": "Durable Medical Equipment & Medical Supplies",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": true,
      "status": "EXCLUDED",
      "matches": [
        {
          "name": "ARCADIA EGO, INC",
          "npi": "1487843231",
          "specialty": "PHARMACY",
          "city": "KENNETT",
          "state": "MO",
          "excl_type": "1128a1",
          "excl_date": "2014-04-21",
          "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 & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "54",
        "medicare_type": "Other Medical Supply Company"
      },
      {
        "medicare_code": "58",
        "medicare_type": "Medical Supply Company with Pharmacist"
      },
      {
        "medicare_code": "87[3]",
        "medicare_type": "All Other Suppliers"
      },
      {
        "medicare_code": "A2[9]",
        "medicare_type": "Intermediate Care Nursing Facility"
      },
      {
        "medicare_code": "A6",
        "medicare_type": "Medical Supply Company with Respiratory Therapist"
      },
      {
        "medicare_code": "A7",
        "medicare_type": "Department Store"
      },
      {
        "medicare_code": "A8",
        "medicare_type": "Grocery Store"
      },
      {
        "medicare_code": "B3",
        "medicare_type": "Medical supply company with pedorthic personnel"
      }
    ]
  }
}