{
  "npi": "1841248945",
  "enumeration_type": "NPI-1",
  "basic": {
    "credential": "DDS",
    "enumeration_date": "2006-05-04",
    "first_name": "GARRETT",
    "last_name": "LONG",
    "last_updated": "2026-07-13",
    "middle_name": "ISAAC",
    "name_prefix": "--",
    "name_suffix": "III",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "RR 1 BOX 92A11",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "AUGUSTA",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "267049728",
      "state": "WV",
      "telephone_number": "304-496-7750"
    },
    {
      "address_1": "17978 SR 55",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "BAKER",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "304-897-6216",
      "postal_code": "26801",
      "state": "WV",
      "telephone_number": "304-897-5915"
    }
  ],
  "taxonomies": [
    {
      "code": "122300000X",
      "desc": "Dentist",
      "license": "2832",
      "primary": true,
      "state": "WV",
      "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": [
      {
        "medicare_code": "C5",
        "medicare_type": "Dentist"
      }
    ]
  }
}