{"result_count":1,"results":[{"addresses":[{"address_1":"600 S ADAMS RD","address_2":"SUITE 200","address_purpose":"MAILING","address_type":"DOM","city":"BIRMINGHAM","country_code":"US","country_name":"United States","fax_number":"248-642-2566","postal_code":"480096861","state":"MI","telephone_number":"248-646-3733"},{"address_1":"600 S ADAMS RD","address_2":"SUITE 200","address_purpose":"LOCATION","address_type":"DOM","city":"BIRMINGHAM","country_code":"US","country_name":"United States","fax_number":"248-642-2566","postal_code":"480096861","state":"MI","telephone_number":"248-646-3733"}],"basic":{"authorized_official_credential":"M.D.","authorized_official_first_name":"CARL","authorized_official_last_name":"CLAVENNA","authorized_official_middle_name":"F","authorized_official_name_prefix":"Dr.","authorized_official_name_suffix":"--","authorized_official_telephone_number":"2486463733","authorized_official_title_or_position":"President","certification_date":"2021-11-17","enumeration_date":"2006-09-21","last_updated":"2021-11-17","organization_name":"CARL F. CLAVENNA, M.D., P.C.","organizational_subpart":"NO","status":"A"},"created_epoch":"1158875265000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"01","desc":"Other (non-Medicare)","identifier":"180f321870","issuer":"blue cross group","state":"MI"},{"code":"01","desc":"Other (non-Medicare)","identifier":"G5031F","issuer":"Blue Care Network group","state":"MI"}],"last_updated_epoch":"1637159133000","number":"1184723694","other_names":[{"code":"3","organization_name":"CLAVENNA VISION INSTITUTE","type":"Doing Business As"}],"practiceLocations":[],"taxonomies":[{"code":"332H00000X","desc":"Eyewear Supplier (Equipment, not the service)","license":null,"primary":false,"state":"MI","taxonomy_group":""},{"code":"207W00000X","desc":"Ophthalmology","license":null,"primary":true,"state":null,"taxonomy_group":"193200000X - Multi-Specialty Group"}]}]}