{
  "npi": "1700649100",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2024-01-30",
    "credential": "RRT-ACCS,SDS, AE-C",
    "enumeration_date": "2024-01-30",
    "first_name": "JOHN",
    "last_name": "BADER",
    "last_updated": "2024-01-30",
    "middle_name": "EARL",
    "name_prefix": "Mr.",
    "name_suffix": "Jr.",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "4205 COTTON WOOD DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "COLUMBIA",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "652024910",
      "state": "MO",
      "telephone_number": "573-554-4952"
    },
    {
      "address_1": "509 W 18TH ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "HERMANN",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "650411547",
      "state": "MO",
      "telephone_number": "573-486-2191"
    }
  ],
  "taxonomies": [
    {
      "code": "2279C0205X",
      "desc": "Respiratory Therapist, Registered, Critical Care",
      "license": "101349",
      "primary": false,
      "state": "MO",
      "taxonomy_group": ""
    },
    {
      "code": "2279E0002X",
      "desc": "Respiratory Therapist, Registered, Emergency Care",
      "license": "101349",
      "primary": false,
      "state": "MO",
      "taxonomy_group": ""
    },
    {
      "code": "2279E1000X",
      "desc": "Respiratory Therapist, Registered, Educational",
      "license": "101349",
      "primary": false,
      "state": "MO",
      "taxonomy_group": ""
    },
    {
      "code": "2279G0305X",
      "desc": "Respiratory Therapist, Registered, Geriatric Care",
      "license": "101349",
      "primary": false,
      "state": "MO",
      "taxonomy_group": ""
    },
    {
      "code": "2279G1100X",
      "desc": "Respiratory Therapist, Registered, General Care",
      "license": "101349",
      "primary": false,
      "state": "MO",
      "taxonomy_group": ""
    },
    {
      "code": "2279P1004X",
      "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
      "license": "101349",
      "primary": false,
      "state": "MO",
      "taxonomy_group": ""
    },
    {
      "code": "2279P1006X",
      "desc": "Respiratory Therapist, Registered, Pulmonary Function Technologist",
      "license": "101349",
      "primary": false,
      "state": "MO",
      "taxonomy_group": ""
    },
    {
      "code": "2279P3900X",
      "desc": "Respiratory Therapist, Registered, Neonatal/Pediatrics",
      "license": "101349",
      "primary": false,
      "state": "MO",
      "taxonomy_group": ""
    },
    {
      "code": "2279S1500X",
      "desc": "Respiratory Therapist, Registered, SNF/Subacute Care",
      "license": "101349",
      "primary": false,
      "state": "MO",
      "taxonomy_group": ""
    },
    {
      "code": "246ZE0500X",
      "desc": "Specialist/Technologist, Other, EEG",
      "license": "101349",
      "primary": false,
      "state": "MO",
      "taxonomy_group": ""
    },
    {
      "code": "227900000X",
      "desc": "Respiratory Therapist, Registered",
      "license": "101349",
      "primary": true,
      "state": "MO",
      "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 Respiratory Therapist, Registered",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}