{"result_count":8,"results":[{"addresses":[{"address_1":"118 CHANKU WASTE RD","address_purpose":"MAILING","address_type":"DOM","city":"PORCUPINE","country_code":"US","country_name":"United States","postal_code":"577723099","state":"SD","telephone_number":"605-455-2052"},{"address_1":"118 CHANKU WASTE RD","address_purpose":"LOCATION","address_type":"DOM","city":"PORCUPINE","country_code":"US","country_name":"United States","postal_code":"577723099","state":"SD","telephone_number":"605-455-2052"}],"basic":{"authorized_official_credential":"DDS","authorized_official_first_name":"DAVID","authorized_official_last_name":"REMPEL","authorized_official_middle_name":"A","authorized_official_telephone_number":"6054552052","authorized_official_title_or_position":"Owner","certification_date":"2022-03-16","enumeration_date":"2022-03-16","last_updated":"2022-03-16","organization_name":"CHANKU WASTE DENTAL LLC","organizational_subpart":"NO","status":"A"},"created_epoch":"1647441553000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[],"last_updated_epoch":"1647441553000","number":"1124776398","other_names":[{"code":"4","organization_name":"CHANKU WASTE DENTAL PLLC","type":"Former Legal Business Name"}],"practiceLocations":[],"taxonomies":[{"code":"1223G0001X","desc":"Dentist, General Practice","license":null,"primary":true,"state":null,"taxonomy_group":"193400000X - Single Specialty Group"}]},{"addresses":[{"address_1":"HCR 49","address_purpose":"LOCATION","address_type":"DOM","city":"PORCUPINE","country_code":"US","country_name":"United States","postal_code":"577720000","state":"SD","telephone_number":"605-718-0392"},{"address_1":"HCR 49 BOX 82C","address_purpose":"MAILING","address_type":"DOM","city":"PORCUPINE","country_code":"US","country_name":"United States","postal_code":"577720000","state":"SD","telephone_number":"605-718-0392"}],"basic":{"authorized_official_first_name":"ALLEN","authorized_official_last_name":"RADA","authorized_official_name_prefix":"Mr.","authorized_official_name_suffix":"--","authorized_official_telephone_number":"6053900910","authorized_official_title_or_position":"President","enumeration_date":"2010-10-15","last_updated":"2013-11-22","organization_name":"DIALYSIS MANAGEMENT GROUP LLC","organizational_subpart":"NO","status":"A"},"created_epoch":"1287155800000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"5400390","issuer":null,"state":"SD"}],"last_updated_epoch":"1385155965000","number":"1922318666","other_names":[{"code":"3","organization_name":"PORCUPINE DIALYSIS CENTER","type":"Doing Business As"}],"practiceLocations":[],"taxonomies":[{"code":"261QE0700X","desc":"Clinic/Center, End-Stage Renal Disease (ESRD) Treatment","license":null,"primary":true,"state":null,"taxonomy_group":""}]},{"addresses":[{"address_1":"101 MAIN STREET","address_purpose":"LOCATION","address_type":"DOM","city":"PORCUPINE","country_code":"US","country_name":"United States","postal_code":"57772","state":"SD","telephone_number":"605-718-0391"},{"address_1":"101 MAIN ST","address_purpose":"MAILING","address_type":"DOM","city":"PORCUPINE","country_code":"US","country_name":"United States","postal_code":"57772","state":"SD","telephone_number":"605-718-0391"}],"basic":{"authorized_official_credential":"MD","authorized_official_first_name":"LOUIS","authorized_official_last_name":"RAYMOND","authorized_official_middle_name":"C","authorized_official_name_prefix":"--","authorized_official_name_suffix":"--","authorized_official_telephone_number":"6057180391","authorized_official_title_or_position":"Medical Director","enumeration_date":"2006-09-22","last_updated":"2009-08-10","organization_name":"DIALYSIS MANAGEMENT GROUP LLC","organizational_subpart":"NO","status":"A"},"created_epoch":"1158950986000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"5400390","issuer":null,"state":"SD"}],"last_updated_epoch":"1249935336000","number":"1033219035","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"261QE0700X","desc":"Clinic/Center, End-Stage Renal Disease (ESRD) Treatment","license":null,"primary":true,"state":null,"taxonomy_group":""}]},{"addresses":[{"address_1":"PO BOX 285","address_purpose":"MAILING","address_type":"DOM","city":"PORCUPINE","country_code":"US","country_name":"United States","postal_code":"577720285","state":"SD"},{"address_1":"607 INDIAN HEALTH RD","address_purpose":"LOCATION","address_type":"DOM","city":"PINE RIDGE","country_code":"US","country_name":"United States","postal_code":"577703169","state":"SD","telephone_number":"605-867-3195"}],"basic":{"certification_date":"2023-01-25","credential":"PharmD, BCPS","enumeration_date":"2023-01-25","first_name":"ANDERSON","last_name":"MABOUR","last_updated":"2023-01-25","name_prefix":"Dr.","sex":"M","sole_proprietor":"NO","status":"A"},"created_epoch":"1674644425000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[],"last_updated_epoch":"1674644425000","number":"1083320949","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"183500000X","desc":"Pharmacist","license":"ps50364","primary":true,"state":"FL","taxonomy_group":""}]},{"addresses":[{"address_1":"1000 HEALTH CTR RD","address_purpose":"LOCATION","address_type":"DOM","city":"KYLE","country_code":"US","country_name":"United States","postal_code":"57752","state":"SD","telephone_number":"605-455-8202"},{"address_1":"BIA HWY 27","address_2":"GENERAL DELIVERY","address_purpose":"MAILING","address_type":"DOM","city":"PORCUPINE","country_code":"US","country_name":"United States","postal_code":"57772","state":"SD","telephone_number":"605-646-2469"}],"basic":{"certification_date":"2021-01-21","credential":"LPC","enumeration_date":"2018-05-14","first_name":"ANGEL","last_name":"MILLS","last_updated":"2021-01-21","middle_name":"N","sex":"F","sole_proprietor":"NO","status":"A"},"created_epoch":"1526339086000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"500743876","issuer":null,"state":"OR"}],"last_updated_epoch":"1611264689000","number":"1295225308","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"101YM0800X","desc":"Counselor, Mental Health","license":"CMH0192171","primary":false,"state":"NM","taxonomy_group":""},{"code":"101YM0800X","desc":"Counselor, Mental Health","license":null,"primary":false,"state":"OR","taxonomy_group":""},{"code":"101YM0800X","desc":"Counselor, Mental Health","license":"LPC20628","primary":true,"state":"SD","taxonomy_group":""}]},{"addresses":[{"address_1":"PO BOX 184","address_purpose":"MAILING","address_type":"DOM","city":"PORCUPINE","country_code":"US","country_name":"United States","postal_code":"577720184","state":"SD","telephone_number":"605-455-2535"},{"address_1":"112 MOUSSEAU LANE","address_purpose":"LOCATION","address_type":"DOM","city":"PORCUPINE","country_code":"US","country_name":"United States","postal_code":"577720184","state":"SD","telephone_number":"605-455-2535"}],"basic":{"credential":"Ph.D.","enumeration_date":"2019-08-12","first_name":"ALICIA","last_name":"MOUSSEAU","last_updated":"2019-08-12","middle_name":"CLAIRE","name_prefix":"Dr.","sex":"F","sole_proprietor":"YES","status":"A"},"created_epoch":"1565640120000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[],"last_updated_epoch":"1565640120000","number":"1417503822","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"103TC0700X","desc":"Psychologist, Clinical","license":"519","primary":true,"state":"SD","taxonomy_group":""}]},{"addresses":[{"address_1":"P.O. BOX 1201","address_purpose":"MAILING","address_type":"DOM","city":"PINE RIDGE","country_code":"US","country_name":"United States","postal_code":"577700275","state":"SD","telephone_number":"605-867-5131"},{"address_1":"101 MAIN STREET","address_purpose":"LOCATION","address_type":"DOM","city":"PORCUPINE","country_code":"US","country_name":"United States","postal_code":"57772","state":"SD","telephone_number":"605-867-5131"}],"basic":{"authorized_official_first_name":"WILLIAM","authorized_official_last_name":"POURIER","authorized_official_middle_name":"J","authorized_official_name_prefix":"--","authorized_official_name_suffix":"--","authorized_official_telephone_number":"6058673021","authorized_official_title_or_position":"CEO","enumeration_date":"2007-01-04","last_updated":"2011-01-13","organization_name":"PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL","organizational_subpart":"YES","parent_organization_legal_business_name":"PINE RIDGE INDIAN HEALTH SERVICE HOSPITAL","status":"A"},"created_epoch":"1167934185000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"05","desc":"MEDICAID","identifier":"5540260","issuer":null,"state":"SD"}],"last_updated_epoch":"1294942977000","number":"1033266945","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"261Q00000X","desc":"Clinic/Center","license":null,"primary":true,"state":null,"taxonomy_group":""}]},{"addresses":[{"address_1":"1883 LAWRENCE LN # 8","address_purpose":"MAILING","address_type":"DOM","city":"PORCUPINE","country_code":"US","country_name":"United States","postal_code":"577723064","state":"SD","telephone_number":"605-407-0138"},{"address_1":"1883 LAWRENCE LN # 8","address_purpose":"LOCATION","address_type":"DOM","city":"PORCUPINE","country_code":"US","country_name":"United States","postal_code":"577723064","state":"SD","telephone_number":"605-407-0138"}],"basic":{"certification_date":"2024-11-26","enumeration_date":"2024-11-26","first_name":"TADD","last_name":"SHARP-BOWMAN","last_updated":"2024-11-26","middle_name":"EVAN","sex":"M","sole_proprietor":"YES","status":"A"},"created_epoch":"1732657504000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[],"last_updated_epoch":"1732657504000","number":"1679399398","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"332800000X","desc":"Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy","license":null,"primary":true,"state":null,"taxonomy_group":""}]}]}