{
  "npi": "1659621985",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "Au.D.",
    "authorized_official_first_name": "SUSAN",
    "authorized_official_last_name": "GORE",
    "authorized_official_middle_name": "EVANS",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "9106715014",
    "authorized_official_title_or_position": "Owner",
    "enumeration_date": "2012-09-13",
    "last_updated": "2012-12-13",
    "organization_name": "COASTAL HEARING CENTERS, INC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "P.O. BOX 4868",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CALABASH",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "28467",
      "state": "NC",
      "telephone_number": "910-671-5014"
    },
    {
      "address_1": "584 FARRINGDOM ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LUMBERTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "283582615",
      "state": "NC",
      "telephone_number": "910-671-5014"
    }
  ],
  "taxonomies": [
    {
      "code": "261QH0700X",
      "desc": "Clinic/Center, Hearing and Speech",
      "license": "1102",
      "primary": true,
      "state": null,
      "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 Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": []
  }
}