{
  "npi": "1972256865",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_first_name": "RAUL",
    "authorized_official_last_name": "CARRILLO",
    "authorized_official_telephone_number": "4692420743",
    "authorized_official_title_or_position": "Regional Director",
    "certification_date": "2022-10-27",
    "enumeration_date": "2022-01-31",
    "last_updated": "2022-10-27",
    "organization_name": "ACCESS DENTAL OF TRIVIZ LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "taxonomies": [
    {
      "code": "1223G0001X",
      "desc": "Dentist, General Practice",
      "license": null,
      "primary": true,
      "state": null,
      "taxonomy_group": "193400000X - Single Specialty Group"
    }
  ],
  "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",
    "common_medicare_procedures": [
      "Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis",
      "Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions"
    ],
    "common_part_d_therapeutic_classes": [
      "Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)",
      "Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish"
    ]
  }
}