{
  "npi": "1922001833",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "DEAN",
    "authorized_official_last_name": "ADAMS",
    "authorized_official_middle_name": "R",
    "authorized_official_telephone_number": "8593419659",
    "authorized_official_title_or_position": "President",
    "enumeration_date": "2005-05-24",
    "last_updated": "2009-08-11",
    "organization_name": "COLORECTAL CARE OF NORTHERN KY, PLLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 272",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "BURLINGTON",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "513-891-1039",
      "postal_code": "410050272",
      "state": "KY",
      "telephone_number": "513-891-2813"
    },
    {
      "address_1": "2865 CHANCELLOR DR",
      "address_2": "STE 215",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "CRESTVIEW HILLS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "859-341-9659",
      "postal_code": "410173912",
      "state": "KY",
      "telephone_number": "859-341-9659"
    }
  ],
  "taxonomies": [
    {
      "code": "208C00000X",
      "desc": "Colon & Rectal Surgery",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Single Specialty 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": "Board-Certified Colorectal Surgeon (Hemorrhoids, Fistula & Colon Specialist)",
    "certifying_board": "American Board of Colon and Rectal Surgery (ABCRS)",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "02",
        "medicare_type": "Physician/General Surgery"
      },
      {
        "medicare_code": "28",
        "medicare_type": "Physician/Colorectal Surgery (Proctology)"
      }
    ]
  }
}