{
  "npi": "1831509645",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2020-07-27",
    "credential": "D.D.S., M.D.",
    "enumeration_date": "2014-05-01",
    "first_name": "JOSHUA",
    "last_name": "BEDNAR",
    "last_updated": "2020-07-27",
    "middle_name": "STEVEN",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "3833 COON RAPIDS BLVD NW STE 220",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "COON RAPIDS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "554332597",
      "state": "MN",
      "telephone_number": "763-421-6271"
    },
    {
      "address_1": "3867 COON RAPIDS BLVD NW",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "COON RAPIDS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "763-586-0072",
      "postal_code": "554332518",
      "state": "MN",
      "telephone_number": "763-586-0070"
    }
  ],
  "taxonomies": [
    {
      "code": "122300000X",
      "desc": "Dentist",
      "license": "D13381",
      "primary": false,
      "state": "MN",
      "taxonomy_group": ""
    },
    {
      "code": "1223S0112X",
      "desc": "Dentist, Oral and Maxillofacial Surgery",
      "license": "D13381",
      "primary": false,
      "state": "MN",
      "taxonomy_group": ""
    },
    {
      "code": "204E00000X",
      "desc": "Oral & Maxillofacial Surgery",
      "license": "D13381",
      "primary": false,
      "state": "MN",
      "taxonomy_group": ""
    },
    {
      "code": "204E00000X",
      "desc": "Oral & Maxillofacial Surgery",
      "license": "64379",
      "primary": true,
      "state": "MN",
      "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 & Credentialed Allopathic & Osteopathic Physicians — Oral & Maxillofacial Surgery",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "02",
        "medicare_type": "Physician/General Surgery"
      },
      {
        "medicare_code": "85",
        "medicare_type": "Physician/Maxillofacial Surgery"
      }
    ]
  }
}