{
  "npi": "1801954441",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "KRYSTAL",
    "authorized_official_last_name": "POWELL",
    "authorized_official_telephone_number": "6235833001",
    "authorized_official_title_or_position": "Revenue Cycle Director",
    "certification_date": "2023-04-28",
    "enumeration_date": "2006-12-05",
    "last_updated": "2023-04-28",
    "organization_name": "ADELANTE HEALTHCARE, INC.",
    "organizational_subpart": "NO",
    "status": "A"
  },
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    {
      "address_1": "306 E MONROE AVE",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BUCKEYE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "623-386-4593",
      "postal_code": "853262706",
      "state": "AZ",
      "telephone_number": "480-964-2273"
    },
    {
      "address_1": "3033 N CENTRAL AVE STE 145",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PHOENIX",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "623-876-9559",
      "postal_code": "850122808",
      "state": "AZ",
      "telephone_number": "623-583-3001"
    }
  ],
  "taxonomies": [
    {
      "code": "207Q00000X",
      "desc": "Family Medicine",
      "license": null,
      "primary": false,
      "state": "AZ",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "208000000X",
      "desc": "Pediatrics",
      "license": null,
      "primary": false,
      "state": "AZ",
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "261QF0400X",
      "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
      "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 Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "B4[14]",
        "medicare_type": "Federally Qualified Health Center"
      }
    ]
  }
}