{
  "npi": "1942321013",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "TOMMY",
    "authorized_official_last_name": "JOHNSON",
    "authorized_official_name_prefix": "--",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "5012275210",
    "authorized_official_title_or_position": "Administrator",
    "enumeration_date": "2007-04-03",
    "last_updated": "2020-08-22",
    "organization_name": "ARKANSAS ALLERGY & ASTHMA CLINIC, PA",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "2039 WEST MAIN STREET",
      "address_2": "SUITE C",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "CABOT",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "501-221-2443",
      "postal_code": "72023",
      "state": "AR",
      "telephone_number": "501-227-5210"
    },
    {
      "address_1": "10310 W MARKHAM ST",
      "address_2": "SUITE 222",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "LITTLE ROCK",
      "country_code": "US",
      "country_name": "United States",
      "fax_number": "501-221-2443",
      "postal_code": "722052175",
      "state": "AR",
      "telephone_number": "501-227-5210"
    }
  ],
  "taxonomies": [
    {
      "code": "207K00000X",
      "desc": "Allergy & Immunology",
      "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": "Licensed & Credentialed Allopathic & Osteopathic Physicians — Allergy and Immunology",
    "certifying_board": "State Medical / Healthcare Licensing Board & National Specialty Board",
    "cms_medicare_crosswalk": [
      {
        "medicare_code": "03",
        "medicare_type": "Physician/Allergy/ Immunology"
      }
    ]
  }
}