{
  "npi": "1881492759",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "DAVID",
    "authorized_official_last_name": "HANLEY",
    "authorized_official_telephone_number": "9788047844",
    "authorized_official_title_or_position": "Billing",
    "certification_date": "2026-07-23",
    "enumeration_date": "2025-03-05",
    "last_updated": "2026-07-23",
    "organization_name": "128 MEDICAL GROUP LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "taxonomies": [
    {
      "code": "261QM0850X",
      "desc": "Clinic/Center, Adult Mental Health",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QR0405X",
      "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": ""
    }
  ],
  "enrichment": {
    "plain_english_specialty": "Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center",
    "certifying_board": "Accreditation Association for Ambulatory Health Care (AAAHC) / CMS",
    "common_medicare_procedures": [
      "Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray",
      "Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures"
    ],
    "common_part_d_therapeutic_classes": [
      "Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines"
    ]
  }
}