{
  "npi": "1972822930",
  "enumeration_type": "NPI-2",
  "basic": {
    "authorized_official_credential": "DDS",
    "authorized_official_first_name": "NATHAN",
    "authorized_official_last_name": "STEVENSON",
    "authorized_official_middle_name": "D",
    "authorized_official_name_prefix": "Dr.",
    "authorized_official_name_suffix": "--",
    "authorized_official_telephone_number": "8018426971",
    "authorized_official_title_or_position": "manager",
    "enumeration_date": "2010-05-28",
    "last_updated": "2010-05-28",
    "organization_name": "ABC PEDIATRIC DENTISTRY, LLC",
    "organizational_subpart": "NO",
    "status": "A"
  },
  "addresses": [
    {
      "address_1": "4019 W 12600 S STE 200",
      "address_purpose": "MAILING",
      "address_type": "DOM",
      "city": "RIVERTON",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "840967406",
      "state": "UT",
      "telephone_number": "801-842-6971"
    },
    {
      "address_1": "610 S 4J CT # B",
      "address_purpose": "LOCATION",
      "address_type": "DOM",
      "city": "GILLETTE",
      "country_code": "US",
      "country_name": "United States",
      "postal_code": "827164127",
      "state": "WY",
      "telephone_number": "801-842-6971"
    }
  ],
  "taxonomies": [
    {
      "code": "1223P0221X",
      "desc": "Dentist, Pediatric Dentistry",
      "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 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": []
  }
}