{
  "npi": "1720326945",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "DDS",
    "authorized_official_first_name": "SCOTT",
    "authorized_official_last_name": "BOLDING",
    "authorized_official_middle_name": "L",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "4794344430",
    "authorized_official_title_or_position": "PRESIDENT",
    "enumeration_date": "2013-01-23",
    "last_updated": "2014-09-10",
    "organization_name": "ARKANSAS ORAL & FACIAL SURGERY CENTER FORT SMITH PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 524",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LOWELL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "479-725-2395",
      "postal_code": "727450524",
      "state": "AR",
      "telephone_number": "479-717-1171"
    },
    {
      "address_1": "8309 PHOENIX AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "FORT SMITH",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "479-434-4438",
      "postal_code": "729036141",
      "state": "AR",
      "telephone_number": "479-434-4430"
    }
  ],
  "taxonomies": [
    {
      "code": "1223S0112X",
      "desc": "Dentist, Oral and Maxillofacial Surgery",
      "license": "3025",
      "primary": true,
      "state": "AR",
      "taxonomy_group": "193200000X - Multi-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": "Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)",
    "certifying_board": "American Dental Association (ADA) / State Board of Dental Examiners",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "19",
        "medicare_type": "Oral Surgery (Dentist only)"
      }
    ]
  }
}