{
  "npi": "1740493907",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2022-07-22",
    "credential": "D.M.D., M.S.",
    "enumeration_date": "2007-05-07",
    "first_name": "RYAN",
    "last_name": "SERRA",
    "last_updated": "2022-07-22",
    "name_prefix": "Dr.",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "9126 TOWN CENTER PKWY STE 101",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LAKEWOOD RANCH",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "342025052",
      "state": "FL",
      "telephone_number": "941-236-5695"
    },
    {
      "address_1": "129 52ND ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "HOLMES BEACH",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "342171716",
      "state": "FL",
      "telephone_number": "614-571-5048"
    }
  ],
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    {
      "code": "122300000X",
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      "license": "8349",
      "primary": false,
      "state": "NC",
      "taxonomy_group": ""
    },
    {
      "code": "1223P0300X",
      "desc": "Dentist, Periodontics",
      "license": "30.023093",
      "primary": false,
      "state": "OH",
      "taxonomy_group": ""
    },
    {
      "code": "1223P0300X",
      "desc": "Dentist, Periodontics",
      "license": "DN27127",
      "primary": true,
      "state": "FL",
      "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 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": []
  }
}