{
  "npi": "1497067722",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2023-12-13",
    "credential": "D.D.S.",
    "enumeration_date": "2010-07-01",
    "first_name": "BENJAMIN",
    "last_name": "MCKINLEY",
    "last_updated": "2023-12-13",
    "middle_name": "ANDREW",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "26425 LAKELAND AVE S",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WEBSTER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "715-866-4368",
      "postal_code": "548938343",
      "state": "WI",
      "telephone_number": "715-866-4420"
    },
    {
      "address_1": "235 E STATE ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "SAINT CROIX FALLS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "715-483-0507",
      "postal_code": "540244117",
      "state": "WI",
      "telephone_number": "715-483-3221"
    }
  ],
  "taxonomies": [
    {
      "code": "122300000X",
      "desc": "Dentist",
      "license": "D12788",
      "primary": false,
      "state": "MN",
      "taxonomy_group": ""
    },
    {
      "code": "1223G0001X",
      "desc": "Dentist, General Practice",
      "license": "1002054",
      "primary": true,
      "state": "WI",
      "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"
      }
    ]
  }
}