{
  "npi": "1932338258",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "JESSICA",
    "authorized_official_last_name": "SKELTON",
    "authorized_official_middle_name": "A",
    "authorized_official_telephone_number": "7028345886",
    "authorized_official_title_or_position": "Office Manager",
    "certification_date": "2024-03-06",
    "enumeration_date": "2009-07-08",
    "last_updated": "2025-09-02",
    "organization_name": "ADVANCED EAR NOSE & THROAT-HEAD AND NECK SURGERY LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "6850 N DURANGO DR",
      "address_2": "SUITE 314",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LAS VEGAS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "702-834-5752",
      "postal_code": "891494595",
      "state": "NV",
      "telephone_number": "702-834-5886"
    },
    {
      "address_1": "6955 N DURANGO DR STE 1115-363",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "LAS VEGAS",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "702-834-5752",
      "postal_code": "891494411",
      "state": "NV",
      "telephone_number": "702-834-5886"
    }
  ],
  "taxonomies": [
    {
      "code": "207YX0007X",
      "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
      "license": null,
      "primary": false,
      "state": null,
      "taxonomy_group": "193400000X - Single Specialty Group"
    },
    {
      "code": "207YX0602X",
      "desc": "Otolaryngology, Otolaryngic Allergy",
      "license": "do1487",
      "primary": true,
      "state": "NV",
      "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": "Licensed & Credentialed Allopathic & Osteopathic Physicians — Otolaryngology — Otolaryngic Allergy",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "04",
        "medicare_type": "Physician/Otolaryngology"
      }
    ]
  }
}