{
  "npi": "1659423796",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "DMD",
    "enumeration_date": "2007-01-17",
    "first_name": "CHARLES",
    "last_name": "ADELSON",
    "last_updated": "2007-07-08",
    "middle_name": "JAY",
    "name_prefix": "Dr.",
    "name_suffix": "--",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "7737 N UNIVERSITY DRIVE",
      "address_2": "SUITE 207",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "TAMARAC",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "954-721-9067",
      "postal_code": "33321",
      "state": "FL",
      "telephone_number": "954-721-6960"
    },
    {
      "address_1": "7737 N UNIVERSITY DRIVE",
      "address_2": "SUITE 207",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "TAMARAC",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "954-721-9067",
      "postal_code": "33321",
      "state": "FL",
      "telephone_number": "954-721-6960"
    }
  ],
  "taxonomies": [
    {
      "code": "1223P0300X",
      "desc": "Dentist, Periodontics",
      "license": "DN16482",
      "primary": true,
      "state": "FL",
      "taxonomy_group": ""
    }
  ],
  "compliance": {
    "oig_leie_exclusion": {
      "excluded": true,
      "status": "EXCLUDED",
      "matches": [
        {
          "name": "CHARLES JAY ADELSON",
          "npi": "1659423796",
          "specialty": "DENTIST",
          "city": "SIOUX FALLS",
          "state": "SD",
          "excl_type": "1128b4",
          "excl_date": "2025-07-20",
          "statute_desc": "Sec. 1128(b)(4) — License Revocation, Suspension, or Surrender"
        }
      ],
      "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": []
  }
}