{
  "npi": "1891020475",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "DDS",
    "authorized_official_first_name": "THOMAS",
    "authorized_official_last_name": "NOLAN",
    "authorized_official_middle_name": "B.",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "3156952128",
    "authorized_official_title_or_position": "owner",
    "enumeration_date": "2009-10-15",
    "last_updated": "2009-10-21",
    "organization_name": "ACCESS FAMILY DENTAL AND DENTURES",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "219 COUNTY RTE 57",
      "address_2": "THREE RIVERS PLAZA",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "PHOENIX",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "13135",
      "state": "NY",
      "telephone_number": "315-695-2128"
    },
    {
      "address_1": "219 COUNTY ROUTE 57",
      "address_2": "THREE RIVERS PLAZA",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "PHOENIX",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "131353300",
      "state": "NY",
      "telephone_number": "315-695-2128"
    }
  ],
  "taxonomies": [
    {
      "code": "122300000X",
      "desc": "Dentist",
      "license": "027837",
      "primary": false,
      "state": "NY",
      "taxonomy_group": "193400000X - Single Specialty Group"
    },
    {
      "code": "261QD0000X",
      "desc": "Clinic/Center, Dental",
      "license": "027837",
      "primary": true,
      "state": "NY",
      "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": []
  }
}