{
  "npi": "1689343600",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "JON",
    "authorized_official_last_name": "NORBERG",
    "authorized_official_middle_name": "DAVID",
    "authorized_official_telephone_number": "7634654263",
    "authorized_official_title_or_position": "President",
    "certification_date": "2022-08-10",
    "enumeration_date": "2021-09-13",
    "last_updated": "2022-08-21",
    "organization_name": "ADVANCED HAND AND UPPER EXTREMITY CENTER PC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "9325 UPLAND LN N # 255",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "MAPLE GROVE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "763-314-2026",
      "postal_code": "55369",
      "state": "MN",
      "telephone_number": "701-388-2196"
    },
    {
      "address_1": "9325 UPLAND LN N STE 255",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "MAPLE GROVE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "553694463",
      "state": "MN",
      "telephone_number": "763-465-4263"
    }
  ],
  "taxonomies": [
    {
      "code": "2086S0105X",
      "desc": "Surgery, Surgery of the Hand",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193400000X - Single Specialty Group"
    },
    {
      "code": "207XS0106X",
      "desc": "Orthopaedic Surgery, Hand Surgery",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Multiple Single 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": "Board-Certified Orthopedic Surgeon (Bone, Joint, Spine & Sports Injury Surgeon)",
    "certifying_board": "American Board of Orthopaedic Surgery (ABOS)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "02",
        "medicare_type": "Physician/General Surgery"
      },
      {
        "medicare_code": "20",
        "medicare_type": "Physician/Orthopedic Surgery"
      },
      {
        "medicare_code": "40",
        "medicare_type": "Physician/Hand Surgery"
      }
    ]
  }
}