{"result_count":1,"results":[{"addresses":[{"address_1":"2030 BLUEGRASS CIR","address_purpose":"LOCATION","address_type":"DOM","city":"CHEYENNE","country_code":"US","country_name":"United States","postal_code":"820097328","state":"WY","telephone_number":"317-635-3500"},{"address_1":"2030 BLUEGRASS CIR","address_purpose":"MAILING","address_type":"DOM","city":"CHEYENNE","country_code":"US","country_name":"United States","fax_number":"360-575-6749","postal_code":"820097328","state":"WY","telephone_number":"317-635-3500"}],"basic":{"certification_date":"2025-07-31","credential":"PA","enumeration_date":"2005-07-05","first_name":"ERIC","last_name":"OTTENBACHER","last_updated":"2025-07-31","middle_name":"DONALD","sex":"M","sole_proprietor":"NO","status":"A"},"created_epoch":"1120596457000","endpoints":[],"enumeration_type":"NPI-1","identifiers":[{"code":"01","desc":"Other (non-Medicare)","identifier":"149048","issuer":"Labor & Ind.","state":"WA"},{"code":"05","desc":"MEDICAID","identifier":"8330938","issuer":null,"state":"WA"},{"code":"01","desc":"Other (non-Medicare)","identifier":"8929945","issuer":"Crime Victims","state":"WA"},{"code":"01","desc":"Other (non-Medicare)","identifier":"970022268","issuer":"RR Medicare","state":null}],"last_updated_epoch":"1753998597000","number":"1952308967","other_names":[],"practiceLocations":[],"taxonomies":[{"code":"363A00000X","desc":"Physician Assistant","license":"PA10004156","primary":false,"state":"WA","taxonomy_group":""},{"code":"363A00000X","desc":"Physician Assistant","license":"PA797","primary":true,"state":"WY","taxonomy_group":""}]}]}