{
  "npi": "1912539842",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "ATAHSIA",
    "authorized_official_last_name": "SMILEY",
    "authorized_official_middle_name": "S",
    "authorized_official_name_prefix": "Ms.",
    "authorized_official_telephone_number": "4695263116",
    "authorized_official_title_or_position": "CEO",
    "certification_date": "2020-02-17",
    "enumeration_date": "2020-02-09",
    "last_updated": "2020-02-17",
    "organization_name": "3RD GEN BOND ENTERPRISES, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "17250 DALLAS PKWY STE 27",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "DALLAS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "752481136",
      "state": "TX",
      "telephone_number": "469-526-3116"
    },
    {
      "address_1": "17250 DALLAS PKWY STE 27",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "DALLAS",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "752481136",
      "state": "TX",
      "telephone_number": "469-526-3116"
    }
  ],
  "taxonomies": [
    {
      "code": "261QM1102X",
      "desc": "Clinic/Center, Military Outpatient Operational (Transportable) Component",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "261QM1103X",
      "desc": "Clinic/Center, Military Ambulatory Procedure Visits Operational (Transportable)",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "2865X1600X",
      "desc": "Military Hospital, Military General Acute Care Hospital. Operational (Transportable)",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "332B00000X",
      "desc": "Durable Medical Equipment & Medical Supplies",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": ""
    },
    {
      "code": "343900000X",
      "desc": "Non-emergency Medical Transport (VAN)",
      "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 Non-emergency Medical Transport (VAN)",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": []
  }
}