{
  "npi": "1689392847",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "KORY",
    "authorized_official_last_name": "YOUNG",
    "authorized_official_middle_name": "S",
    "authorized_official_telephone_number": "8018079395",
    "authorized_official_title_or_position": "VP",
    "certification_date": "2022-08-15",
    "enumeration_date": "2022-08-15",
    "last_updated": "2022-08-15",
    "organization_name": "ADVANTAGE MEDICAL SUPPLY, INC.",
    "organizational_subpart": "YES",
    "parent_organization_legal_business_name": "ADVANTAGE MEDICAL SUPPLY, INC.",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "670 S HIGHWAY 89A",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "KANAB",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "435-644-8604",
      "postal_code": "847413680",
      "state": "UT",
      "telephone_number": "435-644-8600"
    },
    {
      "address_1": "667 S LAKE POWELL BLVD",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PAGE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "888-270-0202",
      "postal_code": "860400858",
      "state": "AZ",
      "telephone_number": "928-660-0536"
    }
  ],
  "taxonomies": [
    {
      "code": "332BX2000X",
      "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
      "license": null,
      "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 & Credentialed Suppliers — Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "B1",
        "medicare_type": "Oxygen supplier"
      }
    ]
  }
}