{
  "npi": "1811135809",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "M.D.",
    "authorized_official_first_name": "KEVIN",
    "authorized_official_last_name": "EARL",
    "authorized_official_middle_name": "SAM",
    "authorized_official_name_prefix": "Mr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "4792731426",
    "authorized_official_title_or_position": "Owner",
    "enumeration_date": "2009-01-28",
    "last_updated": "2019-02-19",
    "organization_name": "ADVANCED AESTHETICS & WELLNESS CENTER PA, EARLMD FAMILY MEDICINE PA",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "909 SE 28TH ST",
      "address_2": "SUITE 9",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BENTONVILLE",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "479-271-6805",
      "postal_code": "727123880",
      "state": "AR",
      "telephone_number": "479-273-1426"
    },
    {
      "address_1": "PO BOX 1638",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LOWELL",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "479-271-6805",
      "postal_code": "727451638",
      "state": "AR",
      "telephone_number": "479-876-6077"
    }
  ],
  "taxonomies": [
    {
      "code": "207Q00000X",
      "desc": "Family Medicine",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Single 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": "Board-Certified Family Medicine Physician (All-Ages Primary Care Doctor)",
    "certifying_board": "American Board of Family Medicine (ABFM)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "08",
        "medicare_type": "Physician/Family Practice"
      }
    ]
  }
}