{
  "npi": "1902229875",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2023-09-05",
    "credential": "DMD",
    "enumeration_date": "2014-01-29",
    "first_name": "AIEMAN",
    "last_name": "AL KADI JAZAIERLY",
    "last_updated": "2023-09-28",
    "name_prefix": "Dr.",
    "sex": "M",
    "sole_proprietor": "YES",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "108 E LANCASTER AVE # C3",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WAYNE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "190874146",
      "state": "PA",
      "telephone_number": "610-956-9918"
    },
    {
      "address_1": "345 E 24TH ST",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "NEW YORK",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "100104020",
      "state": "NY",
      "telephone_number": "212-998-9800"
    }
  ],
  "taxonomies": [
    {
      "code": "122300000X",
      "desc": "Dentist",
      "license": "019.029705",
      "primary": false,
      "state": "IL",
      "taxonomy_group": ""
    },
    {
      "code": "1223X0400X",
      "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
      "license": "DS043141",
      "primary": false,
      "state": "PA",
      "taxonomy_group": ""
    },
    {
      "code": "1223X0400X",
      "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
      "license": "021.002621",
      "primary": false,
      "state": "IL",
      "taxonomy_group": ""
    },
    {
      "code": "1223X0400X",
      "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
      "license": "062218-01",
      "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 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": []
  }
}