{
  "npi": "1932516804",
  "enumeration_type": "NPI-1",
  "basic": {
    "certification_date": "2020-04-28",
    "credential": "D.D.S., M.D.S.",
    "enumeration_date": "2014-07-12",
    "first_name": "SANJU",
    "last_name": "JOSE",
    "last_updated": "2020-04-28",
    "middle_name": "P.",
    "name_prefix": "Dr.",
    "sex": "M",
    "sole_proprietor": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "300 PINE VALLEY DR",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "IMPERIAL",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "151269332",
      "state": "PA",
      "telephone_number": "410-913-4760"
    },
    {
      "address_1": "6395 DOBBIN RD STE 208",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "COLUMBIA",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "410-992-5474",
      "postal_code": "210454759",
      "state": "MD",
      "telephone_number": "410-997-1189"
    }
  ],
  "taxonomies": [
    {
      "code": "1223P0300X",
      "desc": "Dentist, Periodontics",
      "license": "16308",
      "primary": true,
      "state": "MD",
      "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": []
  }
}