{
  "npi": "1710404504",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "DDS",
    "authorized_official_first_name": "JONAH",
    "authorized_official_last_name": "FOUTZ",
    "authorized_official_middle_name": "L",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_telephone_number": "5053956240",
    "authorized_official_title_or_position": "Owner/CEO",
    "enumeration_date": "2017-08-23",
    "last_updated": "2022-07-21",
    "organization_name": "505 DENTAL LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "taxonomies": [
    {
      "code": "1223G0001X",
      "desc": "Dentist, General Practice",
      "license": "DDS662",
      "primary": true,
      "state": "NM",
      "taxonomy_group": "193400000X - Single Specialty Group"
    }
  ],
  "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",
    "common_medicare_procedures": [
      "Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis",
      "Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions"
    ],
    "common_part_d_therapeutic_classes": [
      "Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)",
      "Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish"
    ]
  }
}