{
  "npi": "1881190833",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "SENTHIL",
    "authorized_official_last_name": "RAJU",
    "authorized_official_middle_name": "K",
    "authorized_official_telephone_number": "4053915526",
    "authorized_official_title_or_position": "PROVIDER",
    "certification_date": "2022-03-17",
    "enumeration_date": "2018-03-30",
    "last_updated": "2022-03-17",
    "organization_name": "ICARE CENTER LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "21001 SE 29TH ST UNIT 1",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "HARRAH",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "405-391-5529",
      "postal_code": "730456577",
      "state": "OK",
      "telephone_number": "405-391-5526"
    },
    {
      "address_1": "21001 SE 29TH ST",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "HARRAH",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "730456591",
      "state": "OK"
    }
  ],
  "taxonomies": [
    {
      "code": "207Q00000X",
      "desc": "Family Medicine",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193400000X - Multiple Single Specialty Group"
    },
    {
      "code": "261QM1300X",
      "desc": "Clinic/Center, Multi-Specialty",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QP2300X",
      "desc": "Clinic/Center, Primary Care",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QU0200X",
      "desc": "Clinic/Center, Urgent Care",
      "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": []
  }
}