{
  "npi": "1922006519",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "MD",
    "authorized_official_first_name": "GLENN",
    "authorized_official_last_name": "MORADIAN",
    "authorized_official_middle_name": "P",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "2085570999",
    "authorized_official_title_or_position": "President",
    "enumeration_date": "2005-07-08",
    "last_updated": "2008-10-17",
    "organization_name": "ADVANCED DIAGNOSTIC RADIOLOGY PC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "PO BOX 2537",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "WILLISTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "588022537",
      "state": "ND",
      "telephone_number": "866-338-6472"
    },
    {
      "address_1": "1301 15TH AVE W",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "WILLISTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "588013821",
      "state": "ND",
      "telephone_number": "701-774-7401"
    }
  ],
  "taxonomies": [
    {
      "code": "2085R0202X",
      "desc": "Radiology, Diagnostic Radiology",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193200000X - Multi-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 Diagnostic Radiologist (MRI, CT, Ultrasound & X-Ray Specialist)",
    "certifying_board": "American Board of Radiology (ABR) / FRCR",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "30",
        "medicare_type": "Physician/Diagnostic Radiology"
      }
    ]
  }
}