{
  "npi": "1538749700",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "CPO",
    "authorized_official_first_name": "CHESTER",
    "authorized_official_last_name": "BURDETTE",
    "authorized_official_middle_name": "ARTHUR",
    "authorized_official_telephone_number": "3048817141",
    "authorized_official_title_or_position": "Owner",
    "certification_date": "2024-07-15",
    "enumeration_date": "2021-04-12",
    "last_updated": "2024-07-15",
    "organization_name": "3E ENTERPRISES, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "1214 GROSSCUP AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "DUNBAR",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "681-317-7590",
      "postal_code": "250643024",
      "state": "WV",
      "telephone_number": "304-881-7141"
    },
    {
      "address_1": "1214 GROSSCUP AVE",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "DUNBAR",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "681-317-7590",
      "postal_code": "250643024",
      "state": "WV",
      "telephone_number": "304-881-7141"
    }
  ],
  "taxonomies": [
    {
      "code": "224P00000X",
      "desc": "Prosthetist",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty 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 & Credentialed Respiratory, Developmental, Rehabilitative, and Restorative Service Providers — Prosthetist",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "56",
        "medicare_type": "Individual Certified Prosthetist"
      },
      {
        "medicare_code": "57",
        "medicare_type": "Individual Certified Prosthetist-Orthotist"
      },
      {
        "medicare_code": "B2",
        "medicare_type": "Pedorthic personnel"
      }
    ]
  }
}