{
  "npi": "1891544102",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "DDS",
    "authorized_official_first_name": "KEVIN",
    "authorized_official_last_name": "EATMON",
    "authorized_official_telephone_number": "6313743410",
    "authorized_official_title_or_position": "Medical Director",
    "certification_date": "2024-05-17",
    "enumeration_date": "2024-05-17",
    "last_updated": "2024-05-17",
    "organization_name": "ALLIANCE ORTHO SLEEP P.C.",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2931 GREY MOSS PASS",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "DULUTH",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "300976274",
      "state": "GA",
      "telephone_number": "631-374-3410"
    },
    {
      "address_1": "2437 ROCKVILLE CENTRE PKWY",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "OCEANSIDE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "115721622",
      "state": "NY",
      "telephone_number": "516-640-7401"
    }
  ],
  "taxonomies": [
    {
      "code": "1223X2210X",
      "desc": "Dentist, Orofacial Pain",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193200000X - Multi-Specialty Group"
    },
    {
      "code": "261QD0000X",
      "desc": "Clinic/Center, Dental",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "332BC3200X",
      "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
      "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 & Credentialed Durable Medical Equipment & Medical Supplies, Customized Equipment",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}