{ "$schema": "https://json-schema.org/draft/2020-12/schema", "$id": "https://raw.githubusercontent.com/api-evangelist/certifyos/main/json-schema/certifyos-npi-validation-response-schema.json", "title": "NpiValidationResponse", "description": "NPI validation response", "x-generated": "2026-10-20", "x-method": "derived", "x-generator": "derive-json-schema.py", "x-source": "openapi/certifyos-npivalidation-api-openapi.yml#/components/schemas/NpiValidationResponse", "type": "object", "properties": { "npi": { "type": "string", "description": "NPI number" }, "isValid": { "type": "boolean", "description": "Whether the NPI is valid" }, "status": { "type": "string", "description": "Validation status: VALID_AND_FOUND, VALID_FOUND_IN_NPPES, or VALID_FOUND_IN_NPPES_BUT_FAILED_CROSSWALK_CREATION" }, "providerDetails": { "oneOf": [ { "$ref": "#/$defs/CorePractitionerResponse" }, { "$ref": "#/$defs/CoreFacilityResponse" }, { "$ref": "#/$defs/NppesMappedProviderDetails" } ], "description": "Provider details. Shape depends on entityType: PRACTITIONER → CorePractitionerResponse (DAL canonical schema); FACILITY → CoreFacilityResponse (DAL canonical schema). For both, when the record is sourced from the live NPPES registry, the crosswalk is upserted first and the record is then re-fetched from the DAL so the structure is identical to a direct DAL hit. in case the upsert fails, the response is the NPPES-transformed (NppesProviderDetails) data with the failure status; GROUP → always returns NppesProviderDetails; bypasses the DAL and queries NPPES directly; no crosswalk upsert is performed." } }, "$defs": { "Address": { "type": "object", "description": "Address record within an NPPES entry", "properties": { "address1": { "type": "string" }, "address2": { "type": "string" }, "city": { "type": "string" }, "state": { "type": "string" }, "postalCode": { "type": "string" }, "addressPurpose": { "type": "string" }, "countryCode": { "type": "string" }, "countryName": { "type": "string" }, "phone": { "type": "string" }, "faxNumber": { "type": "string" }, "addressType": { "type": "string", "description": "mailing or practice" }, "telephoneNumber": { "type": "string" } } }, "Attachment1": { "type": "object", "properties": { "createdAt": { "$ref": "#/$defs/Date" }, "fileType": {}, "fileUrl": { "type": "string" }, "originalFileName": { "type": "string" }, "state": {}, "expirationDate": {}, "source": {}, "createdBy": {}, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "ClassificationSourceEnum": { "type": "string", "enum": [ "NUCC", "CMS", "HSD", "NPPES", "Custom" ] }, "ConfidenceEnum": { "type": "string", "enum": [ "high", "low" ] }, "CoreFacilityResponse": { "type": "object", "properties": { "certifyFacilityId": { "type": "string" }, "crosswalkId": { "type": "string" }, "sourceId": { "type": "string" }, "sourceUrl": { "type": "string" }, "sourceType": { "type": "string" }, "sourceName": { "type": "string" }, "sourceDescription": { "type": "string" }, "data": { "$ref": "#/$defs/CoreFacilitydataschema" }, "rawSourceData": { "$ref": "#/$defs/JsonNode" }, "survivorId": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "updatedAt": { "$ref": "#/$defs/Date" }, "mdmProcessResult": { "$ref": "#/$defs/MdmProcessResponse" } }, "title": "CoreFacilityResponse" }, "CoreFacilitydataschema": { "type": "object", "properties": { "lastCredentialedDate": { "$ref": "#/$defs/Date" }, "lastCredentialingDate": { "$ref": "#/$defs/Date" }, "initialCredentialingDate": { "$ref": "#/$defs/Date" }, "nextCredentialingDate": { "$ref": "#/$defs/Date" }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "dba": { "type": "string" }, "name": { "type": "string" }, "primaryEmail": { "type": "string" }, "npi": { "type": "string" }, "tin": { "type": "string" }, "externalId": { "type": "string" }, "ncpdpId": { "type": "string" }, "facilityType": { "type": "string" }, "deceasedDate": { "$ref": "#/$defs/Date" }, "lineOfBusiness": { "type": "array", "items": { "type": "string" } }, "attestationDate": { "$ref": "#/$defs/Date" }, "effectiveDate": { "$ref": "#/$defs/Date" }, "statesToCredential": { "type": "array", "items": { "type": "string" } }, "userDefinedFields": { "type": "object", "additionalProperties": {} }, "delegationStatus": { "$ref": "#/$defs/DelegationStatusEnum1" }, "jurisdictionOfInterest": { "type": "string" }, "businessPurpose": { "$ref": "#/$defs/FacilityBusinessPurpose" }, "emails": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaEmailsInner" } }, "phoneNumbers": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaPhoneNumbersInner" } }, "addresses": { "type": "array", "items": { "$ref": "#/$defs/FacilityAddressesInner" } }, "licenses": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaLicensesInner" } }, "npdbReports": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaNpdbReportsInner" } }, "nppes": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaNppesInner" } }, "certifications": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaCertificationsInner" } }, "supportingDocuments": { "type": "array", "items": { "$ref": "#/$defs/FacilityAttachment" } }, "insurances": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaInsurancesInner" } }, "sanctions": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaSanctionsInner" } }, "specialties": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaSpecialtiesInner" } }, "accreditations": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaAccreditationsInner" } }, "siteVisits": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaSiteVisitsInner" } }, "medicareStarRatings": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaMedicareStarRatingsInner" } }, "appVerifications": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaAppVerificationsInner" } }, "performanceIndicators": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaPerformanceIndicatorsInner" } } } }, "CoreFacilitydataschemaAccreditationsInner": { "type": "object", "properties": { "idNumber": { "type": "string" }, "accreditationBody": { "type": "string" }, "status": { "type": "string" }, "effectiveDate": { "$ref": "#/$defs/Date" }, "expirationDate": { "$ref": "#/$defs/Date" }, "source": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/FacilityAttachment" } }, "verifiedDate": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" } } }, "CoreFacilitydataschemaAppVerificationsInner": { "type": "object", "properties": { "verificationType": { "type": "string" }, "explanation": { "type": "string" }, "source": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/FacilityAttachment" } }, "verifiedDate": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" } } }, "CoreFacilitydataschemaCertificationsInner": { "type": "object", "properties": { "certificateId": { "type": "string" }, "certificateType": { "type": "string" }, "durationType": { "type": "string" }, "expirationDate": { "$ref": "#/$defs/Date" }, "issueDate": { "$ref": "#/$defs/Date" }, "speciality": { "type": "string" }, "subspeciality": { "type": "string" }, "verifiedBy": { "type": "string" }, "verifiedDate": { "$ref": "#/$defs/Date" }, "moc": { "type": "string" }, "status": { "type": "string" }, "occurrenceType": { "type": "string" }, "recordType": { "type": "string" }, "number": { "type": "string" }, "source": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/FacilityAttachment" } } } }, "CoreFacilitydataschemaEmailsInner": { "type": "object", "properties": { "email": { "type": "string" }, "emailType": { "type": "string" }, "source": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" } } }, "CoreFacilitydataschemaInsurancesInner": { "type": "object", "properties": { "carrierName": { "type": "string" }, "expirationDate": { "$ref": "#/$defs/Date" }, "effectiveDate": { "$ref": "#/$defs/Date" }, "source": { "type": "string" }, "status": { "type": "string" }, "policyNumber": { "type": "string" }, "aggregateCoverageAmount": { "type": "string" }, "occurrenceCoverageAmount": { "type": "string" }, "verifiedBy": { "type": "string" }, "verifiedDate": { "$ref": "#/$defs/Date" }, "type": { "type": "string" }, "unlimitedCoverage": { "type": "boolean" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/FacilityAttachment" } } } }, "CoreFacilitydataschemaLicensesInner": { "type": "object", "properties": { "type": { "type": "string" }, "expirationDate": { "$ref": "#/$defs/Date" }, "issueDate": { "$ref": "#/$defs/Date" }, "licenseNumber": { "type": "string" }, "state": { "type": "string" }, "licenseType": { "type": "string" }, "licenseStatus": { "type": "string" }, "licenseSource": { "type": "string" }, "reportDate": { "$ref": "#/$defs/Date" }, "licenseNumberVariations": { "type": "string" }, "flaggedDate": { "$ref": "#/$defs/Date" }, "dataSource": { "type": "string" }, "url": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/FacilityAttachment" } }, "verifiedDate": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" } } }, "CoreFacilitydataschemaMedicareStarRatingsInner": { "type": "object", "properties": { "starRating": { "type": "string" }, "reportDate": { "$ref": "#/$defs/Date" }, "source": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/FacilityAttachment" } }, "verifiedDate": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" } } }, "CoreFacilitydataschemaNpdbReportsInner": { "type": "object", "properties": { "reportDate": { "$ref": "#/$defs/Date" }, "processDate": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" }, "data": {}, "verifiedDate": { "$ref": "#/$defs/Date" }, "typeOfAction": { "type": "string" }, "createdDate": { "$ref": "#/$defs/Date" }, "deceased": { "type": "string" }, "paymentAmount": { "type": "string" }, "paymentDate": { "$ref": "#/$defs/Date" }, "patientAge": { "type": "string" }, "patientGender": { "type": "string" }, "patientType": { "type": "string" }, "medicalConditionDescription": { "type": "string" }, "procedureDescription": { "type": "string" }, "allegationsDescription": { "type": "string" }, "allegationNature": { "type": "string" }, "specificAllegation": { "type": "string" }, "specificAllegationDate": { "$ref": "#/$defs/Date" }, "outcome": { "type": "string" }, "source": { "type": "string" }, "reportType": { "type": "string" }, "firstName": { "type": "string" }, "lastName": { "type": "string" }, "middleName": { "type": "string" }, "gender": { "type": "string" }, "npi": { "type": "string" }, "homeAddress": { "type": "string" }, "homeCity": { "type": "string" }, "homeState": { "type": "string" }, "homeZip": { "type": "string" }, "dcn": { "type": "string" }, "databankSubjectId": { "$ref": "#/$defs/Date" }, "enrollmentStatus": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/FacilityAttachment" } } } }, "CoreFacilitydataschemaNppesInner": { "type": "object", "properties": { "npi": { "type": "string" }, "active": { "type": "boolean" }, "addresses": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaNppesInnerAddressesInner" } }, "certificationDate": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "createdByName": { "type": "string" }, "credential": { "type": "string" }, "enumerationDate": { "$ref": "#/$defs/Date" }, "enumerationType": { "type": "string" }, "firstName": { "type": "string" }, "gender": { "type": "string" }, "id": { "type": "string" }, "identifiers": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaNppesInnerIdentifiersInner" } }, "lastName": { "type": "string" }, "lastUpdatedAt": { "$ref": "#/$defs/Date" }, "middleName": { "type": "string" }, "organizationId": { "type": "string" }, "otherNames": { "type": "array", "items": { "type": "string" } }, "prefix": { "type": "string" }, "providerId": { "type": "string" }, "status": { "type": "string" }, "suffix": { "type": "string" }, "taxonomies": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaNppesInnerTaxonomiesInner" } } } }, "CoreFacilitydataschemaNppesInnerAddressesInner": { "type": "object", "required": [ "address1", "addressType", "city", "countryCode", "countryName", "state" ], "properties": { "address1": { "type": "string" }, "addressPurpose": { "type": "string" }, "addressType": { "type": "string" }, "city": { "type": "string" }, "countryCode": { "type": "string" }, "countryName": { "type": "string" }, "faxNumber": { "type": "string" }, "postalCode": { "type": "string" }, "state": { "type": "string" }, "telephoneNumber": { "type": "string" } } }, "CoreFacilitydataschemaNppesInnerIdentifiersInner": { "type": "object", "properties": { "id": { "type": "string" }, "type": { "type": "string" }, "state": { "type": "string" }, "issuer": { "type": "string" } } }, "CoreFacilitydataschemaNppesInnerTaxonomiesInner": { "type": "object", "required": [ "code", "desc" ], "properties": { "code": { "type": "string" }, "desc": { "type": "string" }, "license": { "type": "string" }, "primary": { "type": "boolean" }, "state": { "type": "string" }, "taxonomyGroup": { "type": "string" } } }, "CoreFacilitydataschemaPerformanceIndicatorsInner": { "type": "object", "properties": { "totalComplaints": { "type": "integer", "format": "int32" }, "clinicalComplaints": { "type": "integer", "format": "int32" }, "serviceComplaints": { "type": "integer", "format": "int32" }, "benefitsComplaints": { "type": "integer", "format": "int32" }, "claimComplaints": { "type": "integer", "format": "int32" }, "accessIssueComplaints": { "type": "integer", "format": "int32" }, "reportDate": { "$ref": "#/$defs/Date" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/FacilityAttachment" } }, "verifiedDate": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" } } }, "CoreFacilitydataschemaPhoneNumbersInner": { "type": "object", "properties": { "phoneNumber": { "type": "string" }, "type": { "type": "string" }, "source": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" } } }, "CoreFacilitydataschemaSanctionsInner": { "type": "object", "properties": { "dateOfReport": { "$ref": "#/$defs/Date" }, "sanctionType": { "type": "string" }, "typeOfAction": { "type": "string" }, "data": { "type": "string" }, "flaggedDate": { "$ref": "#/$defs/Date" }, "sanctionStartDate": { "$ref": "#/$defs/Date" }, "source": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/FacilityAttachment" } }, "verifiedDate": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" } } }, "CoreFacilitydataschemaSiteVisitsInner": { "type": "object", "properties": { "grade": { "type": "string" }, "date": { "$ref": "#/$defs/Date" }, "source": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/FacilityAttachment" } }, "verifiedDate": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" } } }, "CoreFacilitydataschemaSpecialtiesInner": { "type": "object", "properties": { "type": { "type": "string" }, "specialty": { "type": "string" }, "subspecialty": { "type": "string" }, "primarySpecialty": { "type": "boolean" }, "source": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/FacilityAttachment" } }, "verifiedDate": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" } } }, "CorePractitionerResponse": { "type": "object", "properties": { "certifyId": { "type": "string" }, "crosswalkId": { "type": "string" }, "sourceId": { "type": "string" }, "sourceUrl": { "type": "string" }, "sourceType": { "type": "string" }, "sourceName": { "type": "string" }, "sourceDescription": { "type": "string" }, "sourceTenantId": { "type": "string" }, "sourceTags": { "type": "array", "items": { "type": "string" } }, "data": { "$ref": "#/$defs/CorePractitionerdataschema" }, "rawSourceData": { "$ref": "#/$defs/JsonNode" }, "deletedData": { "$ref": "#/$defs/JsonNode" }, "survivorId": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "updatedAt": { "$ref": "#/$defs/Date" }, "mdmProcessResult": { "$ref": "#/$defs/MdmProcessResponse" } }, "title": "CorePractitionerResponse" }, "CorePractitionerdatabaseschemaAppVerificationsInner": { "type": "object", "properties": { "verificationType": { "type": "string" }, "explanation": { "type": "string" }, "source": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/Attachment1" } }, "verifiedDate": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaBoardCertificationsInner": { "type": "object", "properties": { "abmsId": { "type": "string" }, "certificateId": { "type": "string" }, "certifyingBoardName": { "type": "string" }, "isPrimary": { "type": "boolean" }, "certificateType": { "type": "string" }, "durationType": { "type": "string" }, "expireDate": { "$ref": "#/$defs/Date" }, "expirationDate": { "$ref": "#/$defs/Date" }, "issueDate": { "$ref": "#/$defs/Date" }, "reverificationDate": { "$ref": "#/$defs/Date" }, "speciality": { "type": "string" }, "subspeciality": { "type": "string" }, "verifiedBy": { "type": "string" }, "verifiedDate": { "$ref": "#/$defs/Date" }, "moc": { "type": "string" }, "status": { "type": "string" }, "occuranceType": { "type": "string" }, "recordType": { "type": "string" }, "reportDate": { "$ref": "#/$defs/Date" }, "flaggedDate": { "$ref": "#/$defs/Date" }, "source": { "type": "string" }, "city": { "type": "string" }, "state": { "type": "string" }, "zipCode": { "type": "string" }, "country": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/Attachment1" } }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaCaqhPdqs": { "type": "object", "properties": { "practitionerProfessionalId": { "$ref": "#/$defs/CorePractitionerdatabaseschemaCaqhPdqsPractitionerProfessionalId" }, "practitionerSpecialty": { "$ref": "#/$defs/CorePractitionerdatabaseschemaCaqhPdqsPractitionerSpecialty" }, "attestationDate": { "$ref": "#/$defs/Date" }, "caqhApiResponseId": { "type": "string" }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" } } }, "CorePractitionerdatabaseschemaCaqhPdqsPractitionerProfessionalId": { "type": "object", "properties": { "practitionerEcfmg": { "$ref": "#/$defs/CorePractitionerdatabaseschemaCaqhPdqsPractitionerProfessionalIdPractitionerEcfmg" } } }, "CorePractitionerdatabaseschemaCaqhPdqsPractitionerProfessionalIdPractitionerEcfmg": { "type": "object", "properties": { "ecfmgNumber": { "type": "string" }, "ecfmgIssueDate": { "$ref": "#/$defs/Date" } } }, "CorePractitionerdatabaseschemaCaqhPdqsPractitionerSpecialty": { "type": "object", "properties": { "otherSpecialty": { "$ref": "#/$defs/CorePractitionerdatabaseschemaCaqhPdqsPractitionerSpecialtyOtherSpecialty" } } }, "CorePractitionerdatabaseschemaCaqhPdqsPractitionerSpecialtyOtherSpecialty": { "type": "object", "properties": { "listedUnderPPOFlag": { "type": "boolean" } } }, "CorePractitionerdatabaseschemaCdsInner": { "type": "object", "properties": { "expireDate": { "$ref": "#/$defs/Date" }, "expirationDate": { "$ref": "#/$defs/Date" }, "number": { "type": "string" }, "state": { "type": "string" }, "providerType": { "type": "string" }, "verifiedBy": { "type": "string" }, "verifiedDate": { "$ref": "#/$defs/Date" }, "source": { "type": "string" }, "status": { "type": "string" }, "reportDate": { "$ref": "#/$defs/Date" }, "flaggedDate": { "$ref": "#/$defs/Date" }, "url": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/Attachment1" } }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaChangeDetailsInner": { "type": "object", "properties": { "changeEffectiveDate": { "$ref": "#/$defs/Date" }, "changeReasonCode": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "rosterId": { "type": "string" } } }, "CorePractitionerdatabaseschemaCliaCertificatesInner": { "type": "object", "properties": { "certificateNumber": { "type": "string" }, "expirationDate": { "$ref": "#/$defs/Date" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaCmsSpecialtiesInner": { "type": "object", "properties": { "cmsTypeCode": { "type": "string" }, "cmsTypeName": { "type": "string" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaCompactLicensesInner": { "type": "object", "required": [ "compactType", "licenseNumber", "coveredStates" ], "properties": { "compactType": { "type": "string" }, "licenseNumber": { "type": "string" }, "issueDate": { "$ref": "#/$defs/Date" }, "expirationDate": { "$ref": 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"criticalIncidentTraining": { "type": "boolean" } } }, "CorePractitionerdatabaseschemaComplianceTrainingsInnerCulturalCompetency": { "type": "object" }, "CorePractitionerdatabaseschemaDeaInner": { "type": "object", "properties": { "expireDate": { "$ref": "#/$defs/Date" }, "expirationDate": { "$ref": "#/$defs/Date" }, "affiliation": { "type": "string" }, "deaNumber": { "type": "string" }, "number": { "type": "string" }, "schedules": { "type": "string" }, "cdsLicenseNumber": { "type": "string" }, "state": { "type": "string" }, "providerType": { "type": "string" }, "verifiedBy": { "type": "string" }, "verifiedDate": { "$ref": "#/$defs/Date" }, "source": { "type": "string" }, "type": { "$ref": "#/$defs/TypeEnum" }, "status": { "type": "string" }, "reportDate": { "$ref": "#/$defs/Date" }, "flaggedDate": { "$ref": "#/$defs/Date" }, "url": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/Attachment1" } }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaDeathMasterMatchesInner": { "type": "object", "properties": { "isDeceased": { "type": "boolean" }, "dateOfDeath": { "$ref": "#/$defs/Date" }, "dateOfBirth": { "$ref": "#/$defs/Date" }, "name": { "type": "string" }, "confidence": { "$ref": "#/$defs/ConfidenceEnum" }, "matchedOn": { "$ref": "#/$defs/MatchedOnEnum" }, "reason": { "type": "string" }, "matchedAt": { "$ref": "#/$defs/Date" }, "source": { "type": "string" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" } } }, "CorePractitionerdatabaseschemaDisclosureQuestionsInner": { "type": "object", "properties": { "explanation": { "type": "string" }, "question": { "type": "string" }, "answer": { "type": 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"type": "string" }, "verifiedBy": { "type": "string" }, "verifiedDate": { "$ref": "#/$defs/Date" }, "status": { "type": "string" }, "source": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/Attachment1" } }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaEmailsInner": { "type": "object", "properties": { "email": { "type": "string" }, "emailType": { "type": "string" }, "source": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaHospitalAffiliationsInner": { "type": "object", "properties": { "name": { "type": "string" }, "specialty": { "type": "string" }, "state": { "type": "string" }, "type": { "type": "string" }, "isPrimary": { "type": "boolean" }, "source": { "type": "string" }, "startDate": { "$ref": "#/$defs/Date" }, "endDate": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" }, "verifiedDate": { "$ref": "#/$defs/Date" }, "status": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/Attachment1" } }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaLanguagesInner": { "type": "object", "properties": { "language": { "type": "string" }, "isPrimary": { "type": "boolean" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaLicensesInner": { "type": "object", "properties": { "expiration": { "$ref": "#/$defs/Date" }, "issueDate": { "$ref": "#/$defs/Date" }, "licenseNumber": { "type": "string" }, "state": { "type": "string" }, "licenseType": { "type": "string" }, "practitionerType": { "type": "string" }, "specialty": { "type": "string" }, "licenseStatus": { "type": "string" }, "licenseSource": { "type": "string" }, "reportDate": { "$ref": "#/$defs/Date" }, "licenseNumberVariations": { "type": "string" }, "flaggedDate": { "$ref": "#/$defs/Date" }, "dataSource": { "type": "string" }, "url": { "type": "string" }, "boardActionFlag": { "type": "boolean" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": 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"$ref": "#/$defs/Date" }, "type": { "type": "string" }, "unlimitedCoverage": { "type": "boolean" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/Attachment1" } }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaMalpracticeInsurancesInner": { "type": "object", "properties": { "carrierName": { "type": "string" }, "expiryDate": { "$ref": "#/$defs/Date" }, "effectiveDate": { "$ref": "#/$defs/Date" }, "source": { "type": "string" }, "status": { "type": "string" }, "policyNumber": { "type": "string" }, "aggregateCoverageAmount": { "type": "string" }, "occuranceCoverageAmount": { "type": "string" }, "verifiedBy": { "type": "string" }, "verifiedDate": { "$ref": "#/$defs/Date" }, "type": { "type": "string" }, "unlimitedCoverage": { "type": "boolean" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/Attachment1" } }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaMedicareInner": { "type": "object", "properties": { "medicareNumber": { "type": "string" }, "medicareState": { "type": "string" }, "issueDate": { "$ref": "#/$defs/Date" }, "expirationDate": { "$ref": "#/$defs/Date" }, "source": { "type": "string" }, "url": { "type": "string" }, "reportDate": { "$ref": "#/$defs/Date" }, "flaggedDate": { "$ref": "#/$defs/Date" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": 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"patientAge": { "type": "string" }, "patientGender": { "type": "string" }, "patientType": { "type": "string" }, "medicalConditionDescription": { "type": "string" }, "procedureDescription": { "type": "string" }, "allegationsDescription": { "type": "string" }, "allegationNature": { "type": "string" }, "specificAllegation": { "type": "string" }, "specificAllegationDate": { "$ref": "#/$defs/Date" }, "outcome": { "type": "string" }, "source": { "type": "string" }, "reportType": { "type": "string" }, "firstName": { "type": "string" }, "lastName": { "type": "string" }, "middleName": { "type": "string" }, "gender": { "type": "string" }, "npi": { "type": "string" }, "homeAddress": { "type": "string" }, "homeCity": { "type": "string" }, "homeState": { "type": "string" }, "homeZip": { "type": "string" }, "dcn": { "type": "string" }, "reportDCN": { "type": "string" }, "notes": { "type": "array", "items": { "type": "string" } }, "maintainedUnder": { "$ref": "#/$defs/CorePractitionerdatabaseschemaNpdbReportsInnerMaintainedUnder" }, "correctedFields": { "type": "array", "items": { "type": "string" } }, "previousDCN": { "type": "string" }, "previousTransaction": { "type": "string" }, "databankSubjectId": { "type": "string", "minLength": 1 }, "otherName": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaNpdbReportsInnerOtherNameInner" } }, "certification": { "$ref": "#/$defs/CorePractitionerdatabaseschemaNpdbReportsInnerCertification" }, "submitter": { "$ref": "#/$defs/CorePractitionerdatabaseschemaNpdbReportsInnerSubmitter" }, "enrollmentStatus": { "$ref": "#/$defs/CorePractitionerdatabaseschemaNpdbReportsInnerEnrollmentStatus" }, "transactionTypeCode": { "type": "string" }, "transactionType": { "type": "string" }, "recentChangeDate": { "$ref": "#/$defs/Date" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/Attachment1" } }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaNpdbReportsInnerCertification": { "type": "object", "properties": { "name": { "type": "string" }, "title": { "type": "string" }, "phone": { "$ref": "#/$defs/CorePractitionerdatabaseschemaNpdbReportsInnerCertificationPhone" }, "date": { "$ref": "#/$defs/Date" } } }, "CorePractitionerdatabaseschemaNpdbReportsInnerCertificationPhone": { "type": "object", "properties": { "number": { "type": "string" } } }, "CorePractitionerdatabaseschemaNpdbReportsInnerEnrollmentStatus": { "type": "object", "properties": { "dataBank": { "type": "string" }, "status": { "type": "string" }, "statusCode": { "type": "string" }, "section1128e": { "type": "boolean" }, "section1921": { "type": "boolean" }, "titleIV": { "type": "boolean" }, "startDate": { "$ref": "#/$defs/Date" }, "endDate": { "$ref": "#/$defs/Date" } } }, "CorePractitionerdatabaseschemaNpdbReportsInnerMaintainedUnder": { "type": "object", "properties": { "statute": { "type": "array", "items": { "type": "string" } } } }, "CorePractitionerdatabaseschemaNpdbReportsInnerOtherNameInner": { "type": "object", "required": [ "firstName", "lastName" ], "properties": { "firstName": { "type": "string" }, "lastName": { "type": "string" } } }, "CorePractitionerdatabaseschemaNpdbReportsInnerSubmitter": { "type": "object", "properties": { "entityDBID": { "type": "string" }, "agentDBID": { "type": "string" }, "vendorID": { "type": "string" } } }, "CorePractitionerdatabaseschemaNppesInner": { "type": "object", "properties": { "npi": { "type": "string" }, "active": { "type": "boolean" }, "addresses": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaNppesInnerAddressesInner" } }, "certificationDate": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "createdByName": { "type": "string" }, "credential": { "type": "string" }, "enumerationDate": { "$ref": "#/$defs/Date" }, "enumerationType": { "type": "string" }, "firstName": { "type": "string" }, "gender": { "type": "string" }, "id": { "type": "string" }, "identifiers": { "type": "array", "items": { "$ref": "#/$defs/CoreFacilitydataschemaNppesInnerIdentifiersInner" } }, "lastName": { "type": "string" }, "lastUpdatedAt": { "$ref": "#/$defs/Date" }, "middleName": { "type": "string" }, "organizationId": { "type": "string" }, "otherNames": { "type": "array", "items": { "type": "string" } }, "prefix": { "type": "string" }, "providerId": { "type": "string" }, "status": { "type": "string" }, "suffix": { "type": "string" }, "taxonomies": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaNppesInnerTaxonomiesInner" } }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "verifiedAt": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaNppesInnerAddressesInner": { "type": "object", "properties": { "address1": { "type": "string" }, "addressPurpose": { "type": "string" }, "addressType": { "type": "string" }, "city": { "type": "string" }, "countryCode": { "type": "string" }, "countryName": { "type": "string" }, "faxNumber": { "type": "string" }, "postalCode": { "type": "string" }, "state": { "type": "string" }, "telephoneNumber": { "type": "string" } } }, "CorePractitionerdatabaseschemaNppesInnerTaxonomiesInner": { "type": "object", "properties": { "code": { "type": "string" }, "desc": { "type": "string" }, "license": { "type": "string" }, "primary": { "type": "boolean" }, "state": { "type": "string" }, "taxonomyGroup": { "type": "string" } } }, "CorePractitionerdatabaseschemaPerformanceIndicatorsInner": { "type": "object", "properties": { "totalComplaints": { "type": "integer", "format": "int32" }, "clinicalComplaints": { "type": "integer", "format": "int32" }, "serviceComplaints": { "type": "integer", "format": "int32" }, "benefitsComplaints": { "type": "integer", "format": "int32" }, "claimComplaints": { "type": "integer", "format": "int32" }, "accessIssueComplaints": { "type": "integer", "format": "int32" }, "reportDate": { "$ref": "#/$defs/Date" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/Attachment1" } }, "verifiedDate": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaPhoneNumbersInner": { "type": "object", "properties": { "phoneNumber": { "type": "string" }, "faxNumber": { "type": "string" }, "type": { "type": "string" }, "source": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaPracticeLocationsInner": { "type": "object", "properties": { "address1": { "type": "string" }, "address2": { "type": "string" }, "address3": { "type": "string" }, "address4": { "type": "string" }, "city": { "type": "string" }, "county": { "type": "string" }, "country": { "type": "string" }, "state": { "type": "string" }, "zipcode": { "type": "string" }, "healthcareServiceName": { "type": "string" }, "faxNumber": { "type": "string" }, "telephoneNumber": { "type": "string" }, "tin": { "type": "string" }, "npi": { "type": "string" }, "startDate": { "$ref": "#/$defs/Date" }, "phoneCoverage24x7": { "type": "boolean" }, "totalLocationHours": { "type": "number" }, "locationHours": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaPracticeLocationsInnerLocationHoursInner" } }, "drawingBlood": { "type": "boolean" }, "laboratoryServices": { "type": "boolean" }, "cliaNumber": { "type": "string" }, "cliaExpirationDate": { "$ref": "#/$defs/Date" }, "source": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/Attachment1" } }, "verifiedDate": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" }, "locationAccessibility": { "$ref": "#/$defs/CorePractitionerdatabaseschemaPracticeLocationsInnerLocationAccessibility" }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaPracticeLocationsInnerLocationAccessibility": { "type": "object", "properties": { "adaAccessibilityFlag": { "type": "boolean" }, "handicappedAccessFlag": { "type": "boolean" }, "parkingAccessFlag": { "type": "boolean" }, "restroomAccessFlag": { "type": "boolean" }, "otherDisabilityServicesFlag": { "type": "boolean" }, "ttyAccessFlag": { "type": "boolean" }, "aslAccessFlag": { "type": "boolean" }, "impairmentServicesFlag": { "type": "boolean" }, "publicTransportationAccessFlag": { "type": "boolean" }, "busAccessFlag": { "type": "boolean" }, "subwayAccessFlag": { "type": "boolean" }, "trainAccessFlag": { "type": "boolean" } } }, "CorePractitionerdatabaseschemaPracticeLocationsInnerLocationHoursInner": { "type": "object", "properties": { "dayOfWeek": { "$ref": "#/$defs/DayOfWeekEnum" }, "startHours": { "type": "string" }, "endHours": { "type": "string" } } }, "CorePractitionerdatabaseschemaProfessionalIdsInner": { "type": "object", "properties": { "type": { "type": "string" }, "number": { "type": "string" }, "state": { "type": "string" }, "issueDate": { "$ref": "#/$defs/Date" }, "expirationDate": { "$ref": "#/$defs/Date" }, "source": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/Attachment1" } }, "verifiedDate": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaResidencyInner": { "type": "object", "properties": { "schoolName": { "type": "string" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaSanctionsInner": { "type": "object", "properties": { "dateOfReport": { "$ref": "#/$defs/Date" }, "sanctionType": { "type": "string" }, "typeOfAction": { "type": "string" }, "verifiedBy": { "type": "string" }, "data": { "type": "string" }, "flaggedDate": { "$ref": "#/$defs/Date" }, "sanctionStartDate": { "$ref": "#/$defs/Date" }, "exclusionInitiatedBy": { "type": "string" }, "source": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "url": { "type": "string" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/Attachment1" } }, "verifiedDate": { "$ref": "#/$defs/Date" }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaSiteVisitsInner": { "type": "object", "properties": { "date": { "$ref": "#/$defs/Date" }, "grade": { "type": "string" }, "source": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/Attachment1" } }, "verifiedDate": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaSpecialtiesInner": { "type": "object", "properties": { "specialty": { "type": "string" }, "subspecialty": { "type": "string" }, "primarySpecialty": { "type": "boolean" }, "source": { "type": "string" }, "type": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/Attachment1" } }, "verifiedDate": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" }, "taxonomyCode": { "type": "string" }, "classificationSource": { "$ref": "#/$defs/ClassificationSourceEnum" }, "boardName": { "type": "string" }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" }, "effectiveDate": { "$ref": "#/$defs/Date" }, "terminationDate": { "$ref": "#/$defs/Date" }, "tenantPractitionerSpecialtyId": { "type": "string" } } }, "CorePractitionerdatabaseschemaWorkHistoryGapsInner": { "type": "object", "properties": { "explanation": { "type": "string" }, "gapStartDate": { "$ref": "#/$defs/Date" }, "gapEndDate": { "$ref": "#/$defs/Date" }, "verifiedDate": { "$ref": "#/$defs/Date" }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdatabaseschemaXRayLicensesInner": { "type": "object", "properties": { "licenseNumber": { "type": "string" }, "expirationDate": { "$ref": "#/$defs/Date" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "CorePractitionerdataschema": { "type": "object", "properties": { "caqhPdqs": { "$ref": "#/$defs/CorePractitionerdatabaseschemaCaqhPdqs" }, "prefix": { "type": "string" }, "firstName": { "type": "string" }, "caqhPrimaryEmail": { "type": "string" }, "middleName": { "type": "string" }, "lastName": { "type": "string" }, "suffix": { "type": "string" }, "primaryEmail": { "type": "string" }, "npi": { "type": "string" }, "externalId": { "type": "string" }, "enrollmentStartDate": { "$ref": "#/$defs/Date" }, "reimbursementId": { "type": "string" }, "supervisingPractitionerId": { "type": "string" }, "caqhProviderId": { "type": "string" }, "providerType": { "type": "array", "items": { "type": "string" } }, "practitionerType": { "type": "array", "items": { "type": "string" } }, "practitionerSpecializedTraining": { "type": "array", "items": { "type": "string" } }, "practitionerTypesToCredential": { "type": "array", "items": { "type": "string" } }, "reviewCompleteDate": { "$ref": "#/$defs/Date" }, "statesToCredential": { "type": "array", "items": { "type": "string" } }, "practitionerRoles": { "type": "array", "items": { "type": "string" } }, "practitionerRolesMap": { "type": "object", "additionalProperties": { "$ref": "#/$defs/PractitionerRolesMapValue" } }, "lineOfBusiness": { "type": "array", "items": { "type": "string" } }, "providerId": { "type": "string" }, "dateOfBirth": { "$ref": "#/$defs/Date" }, "ssn": { "type": "string" }, "gender": { "type": "string" }, "race": { "type": "string" }, "ethnicity": { "type": "string" }, "providerCreatedDate": { "$ref": "#/$defs/Date" }, "npdbDatabankSubjectId": { "type": "string" }, "npdbDcn": { "type": "string" }, "isDeceased": { "type": "boolean" }, "deceasedDate": { "$ref": "#/$defs/Date" }, "deceasedExplanation": { "type": "string" }, "lastCredentialedDate": { "$ref": "#/$defs/Date" }, "lastCredentialingDate": { "$ref": "#/$defs/Date" }, "nextCredentialingDate": { "$ref": "#/$defs/Date" }, "initialCredentialingDate": { "$ref": "#/$defs/Date" }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "terminationDate": { "$ref": "#/$defs/Date" }, "terminationReason": { "type": "string" }, "emails": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaEmailsInner" } }, "userDefinedFields": { "type": "object", "additionalProperties": {} }, "delegationStatus": { "$ref": "#/$defs/DelegationStatusEnum" }, "jurisdictionOfInterest": { "type": "string" }, "businessPurpose": { "$ref": "#/$defs/PractitionerBusinessPurpose" }, "phoneNumbers": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaPhoneNumbersInner" } }, "addresses": { "type": "array", "items": { "$ref": "#/$defs/PractitionerAddressesInner" } }, "licenses": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaLicensesInner" } }, "compactLicenses": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaCompactLicensesInner" } }, "deathMasterMatches": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaDeathMasterMatchesInner" } }, "medicaid": { "type": "array", "items": { "$ref": "#/$defs/PractitionerMedicaidInner" } }, "malpracticeInsurances": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaMalpracticeInsurancesInner" } }, "malpracticeInsurance": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaMalpracticeInsuranceInner" } }, "supportingDocuments": { "type": "array", "items": { "$ref": "#/$defs/Attachment1" } }, "boardCertifications": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaBoardCertificationsInner" } }, "hospitalAffiliations": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaHospitalAffiliationsInner" } }, "sanctions": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaSanctionsInner" } }, "sanctionsLineage": { "type": "object", "additionalProperties": { "$ref": "#/$defs/SanctionsLineageValue" } }, "workHistoryGaps": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaWorkHistoryGapsInner" } }, "disclosureQuestions": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaDisclosureQuestionsInner" } }, "nppes": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaNppesInner" } }, "practiceLocations": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaPracticeLocationsInner" } }, "languages": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaLanguagesInner" } }, "licensureActions": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaLicensureActionsInner" } }, "dea": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaDeaInner" } }, "cds": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaCdsInner" } }, "cmsSpecialties": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaCmsSpecialtiesInner" } }, "npdbReports": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaNpdbReportsInner" } }, "educationTraining": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaEducationTrainingInner" } }, "residency": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaResidencyInner" } }, "education": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaEducationInner" } }, "cliaCertificates": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaCliaCertificatesInner" } }, "medicare": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaMedicareInner" } }, "xRayLicenses": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaXRayLicensesInner" } }, "specialties": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaSpecialtiesInner" } }, "appVerifications": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaAppVerificationsInner" } }, "professionalIds": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaProfessionalIdsInner" } }, "siteVisits": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaSiteVisitsInner" } }, "performanceIndicators": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaPerformanceIndicatorsInner" } }, "complianceTrainings": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaComplianceTrainingsInner" } }, "changeDetails": { "type": "array", "items": { "$ref": "#/$defs/CorePractitionerdatabaseschemaChangeDetailsInner" } } } }, "Date": { "type": "string", "format": "date" }, "DayOfWeekEnum": { "type": "string", "enum": [ "Monday", "Tuesday", "Wednesday", "Thursday", "Friday", "Saturday", "Sunday" ] }, "DelegationStatusEnum": { "type": "string", "enum": [ "Delegated", "Direct", "CredNotRequired", "DeDelegated" ] }, "DelegationStatusEnum1": { "type": "string", "enum": [ "Delegated", "Direct" ] }, "EducationTypeEnum": { "type": "string", "enum": [ "medicalSchool", "alliedHealthEducation", "podiatricMedicine", "chiropracticSchool", "nursingSchool", "OTHER" ] }, "EffectiveStatusEnum": { "type": "string", "enum": [ "PENDING_LINKAGE", "INELIGIBLE", "EXPIRED", "ACTIVE" ] }, "FacilityAddressesInner": { "type": "object", "properties": { "address1": { "type": "string" }, "address2": { "type": "string" }, "city": { "type": "string" }, "state": { "type": "string" }, "country": { "type": "string" }, "zipcode": { "type": "string" }, "source": { "type": "string" }, "type": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "isPrimary": { "type": "boolean" }, "county": { "type": "string" }, "zipExtension": { "type": "string" }, "latitude": { "type": "number" }, "longitude": { "type": "number" }, "stateFips": { "type": "string" }, "countyFips": { "type": "string" }, "formattedAddress": { "type": "string" } } }, "FacilityAttachment": { "type": "object", "properties": { "createdAt": { "$ref": "#/$defs/Date" }, "fileType": { "type": "string" }, "fileUrl": { "type": "string" }, "originalFileName": { "type": "string" }, "state": { "type": "string" }, "expirationDate": { "$ref": "#/$defs/Date" }, "source": { "type": "string" }, "createdBy": { "type": "string" } } }, "FacilityBusinessPurpose": { "type": "object", "properties": { "isForCredentialing": { "$ref": "#/$defs/FacilityBusinessPurposeIsForCredentialing" }, "isForMonitoring": { "$ref": "#/$defs/FacilityBusinessPurposeIsForMonitoring" } } }, "FacilityBusinessPurposeIsForCredentialing": { "type": "object", "properties": { "value": { "type": "boolean" }, "reason": { "type": "string" } } }, "FacilityBusinessPurposeIsForMonitoring": { "type": "object", "properties": { "value": { "type": "boolean" }, "reason": { "type": "string" } } }, "HomeLicenseLinkSourceEnum": { "type": "string", "enum": [ "INGESTED", "MANUAL", "UNLINKED" ] }, "JsonNode": { "type": "object", "properties": { "empty": { "type": "boolean" }, "valueNode": { "type": "boolean" }, "containerNode": { "type": "boolean" }, "missingNode": { "type": "boolean" }, "array": { "type": "boolean" }, "object": { "type": "boolean" }, "nodeType": { "$ref": "#/$defs/JsonNodeType" }, "pojo": { "type": "boolean" }, "number": { "type": "boolean" }, "integralNumber": { "type": "boolean" }, "floatingPointNumber": { "type": "boolean" }, "short": { "type": "boolean" }, "int": { "type": "boolean" }, "long": { "type": "boolean" }, "float": { "type": "boolean" }, "double": { "type": "boolean" }, "bigDecimal": { "type": "boolean" }, "bigInteger": { "type": "boolean" }, "textual": { "type": "boolean" }, "boolean": { "type": "boolean" }, "null": { "type": "boolean" }, "binary": { "type": "boolean" } } }, "JsonNodeType": { "type": "string", "enum": [ "ARRAY", "BINARY", "BOOLEAN", "MISSING", "NULL", "NUMBER", "OBJECT", "POJO", "STRING" ] }, "MatchedOnEnum": { "type": "string", "enum": [ "ssn_dob", "ssn_only", "name_dob" ] }, "MdmErrorDetail": { "type": "object", "properties": { "code": { "type": "string" }, "message": { "type": "string" }, "failedStep": { "type": "string" } } }, "MdmExecutionSummary": { "type": "object", "properties": { "stepsExecuted": { "type": "array", "items": { "type": "string" } }, "stepsSkipped": { "type": "array", "items": { "type": "string" } }, "stepsFailed": { "type": "array", "items": { "type": "string" } }, "totalDurationMs": { "type": "integer", "format": "int64" } } }, "MdmProcessResponse": { "type": "object", "properties": { "requestId": { "type": "string" }, "entityType": { "type": "string" }, "entityId": { "type": "string" }, "status": { "$ref": "#/$defs/MdmProcessStatus" }, "executionSummary": { "$ref": "#/$defs/MdmExecutionSummary" }, "stepResults": { "type": "object", "additionalProperties": { "$ref": "#/$defs/MdmStepResult" } }, "error": { "$ref": "#/$defs/MdmErrorDetail" } } }, "MdmProcessStatus": { "type": "string", "enum": [ "SUCCESS", "FAILED" ] }, "MdmStepResult": { "type": "object", "properties": { "status": { "type": "string" }, "retryCount": { "type": "integer", "format": "int32" }, "matchedEntities": { "type": "array", "items": { "type": "string" } }, "certifyId": { "type": "string" }, "errorCode": { "type": "string" }, "errorDetails": { "type": "string" }, "message": { "type": "string" }, "skipReason": { "type": "string" }, "npi": { "type": "string" } } }, "NppesEntry": { "type": "object", "description": "NPPES entry for a GROUP NPI lookup", "properties": { "npi": { "type": "string", "description": "NPI number" }, "active": { "type": "boolean", "description": "Whether the record is active in NPPES" }, "firstName": { "type": "string" }, "middleName": { "type": "string" }, "lastName": { "type": "string" }, "prefix": { "type": "string" }, "suffix": { "type": "string" }, "credential": { "type": "string" }, "gender": { "type": "string" }, "enumerationDate": { "type": "string", "description": "Date NPI was enumerated (YYYY-MM-DD)" }, "lastUpdatedAt": { "type": "string", "description": "Date record was last updated in NPPES (YYYY-MM-DD)" }, "certificationDate": { "type": "string", "description": "Certification date (YYYY-MM-DD)" }, "enumerationType": { "type": "string", "description": "NPPES enumeration type: 1=individual, 2=organization" }, "organizationId": { "type": "string", "description": "Organization name associated with this GROUP NPI" }, "addresses": { "type": "array", "items": { "$ref": "#/$defs/Address" }, "description": "Mailing and practice addresses for this entry" }, "taxonomies": { "type": "array", "items": { "$ref": "#/$defs/Taxonomy" }, "description": "Taxonomy classifications" }, "identifiers": { "type": "array", "items": {}, "description": "Other identifiers (e.g. state licence IDs)" }, "id": { "type": "string" }, "providerId": { "type": "string" }, "createdBy": { "type": "string" }, "createdByName": { "type": "string" }, "createdAt": { "type": "string" }, "updatedBy": { "type": "string" }, "updatedAt": { "type": "string" }, "status": { "type": "string" }, "verifiedAt": { "type": "string" }, "verifiedBy": { "type": "string" }, "verifiedDate": { "type": "string" }, "verifiedByName": { "type": "string" }, "source": { "type": "string" }, "credWorkflowRecordOrigin": { "type": "string" }, "otherNames": { "type": "array", "items": {}, "description": "Alternate names on record" } } }, "NppesMappedProviderDetails": { "type": "object", "description": "providerDetails shape for entityType=GROUP or when the upsert fails for practitioner or facility. GROUP bypasses the DAL and always queries the live NPPES registry; no crosswalk upsert is performed. The nppes[] array carries the NPPES-mapped entries with both practitioner-level fields (firstName, lastName, organizationId) and nested addresses/taxonomies.", "properties": { "npi": { "type": "string", "description": "NPI number" }, "nppes": { "type": "array", "items": { "$ref": "#/$defs/NppesEntry" }, "description": "NPPES registry entries mapped for this GROUP NPI" }, "emails": { "type": "array", "items": {}, "description": "Email addresses on record" }, "phoneNumbers": { "type": "array", "items": {}, "description": "Phone numbers on record" }, "addresses": { "type": "array", "items": {}, "description": "Addresses on record (top-level; detailed addresses are inside nppes[])" }, "licenses": { "type": "array", "items": {}, "description": "Licenses on record" }, "npdbReports": { "type": "array", "items": {}, "description": "NPDB reports" }, "certifications": { "type": "array", "items": {}, "description": "Certifications" }, "supportingDocuments": { "type": "array", "items": {}, "description": "Supporting documents" }, "insurances": { "type": "array", "items": {}, "description": "Insurance records" }, "sanctions": { "type": "array", "items": {}, "description": "Sanction records" }, "specialties": { "type": "array", "items": {}, "description": "Specialties" }, "accreditations": { "type": "array", "items": {}, "description": "Accreditations" }, "siteVisits": { "type": "array", "items": {}, "description": "Site visits" }, "medicareStarRatings": { "type": "array", "items": {}, "description": "Medicare star ratings" }, "appVerifications": { "type": "array", "items": {}, "description": "Application verifications" }, "performanceIndicators": { "type": "array", "items": {}, "description": "Performance indicators" }, "lineOfBusiness": { "type": "array", "items": {}, "description": "Lines of business" }, "statesToCredential": { "type": "array", "items": {}, "description": "States to credential in" } }, "title": "NppesMappedProviderDetails" }, "PractitionerAddressesInner": { "type": "object", "properties": { "address1": { "type": "string" }, "address2": { "type": "string" }, "city": { "type": "string" }, "state": { "type": "string" }, "country": { "type": "string" }, "zipcode": { "type": "string" }, "source": { "type": "string" }, "type": { "type": "string" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "PractitionerBusinessPurpose": { "type": "object", "properties": { "isForCredentialing": { "$ref": "#/$defs/PractitionerBusinessPurposeIsForCredentialing" }, "isForMonitoring": { "$ref": "#/$defs/PractitionerBusinessPurposeIsForMonitoring" } } }, "PractitionerBusinessPurposeIsForCredentialing": { "type": "object", "properties": { "value": { "type": "boolean" }, "reason": { "type": "string" } } }, "PractitionerBusinessPurposeIsForMonitoring": { "type": "object", "properties": { "value": { "type": "boolean" }, "reason": { "type": "string" } } }, "PractitionerMedicaidInner": { "type": "object", "properties": { "state": { "type": "string" }, "medicaidNumber": { "type": "string" }, "medicaidState": { "type": "string" }, "cdsNumber": { "type": "string" }, "issueDate": { "$ref": "#/$defs/Date" }, "expirationDate": { "$ref": "#/$defs/Date" }, "source": { "type": "string" }, "url": { "type": "string" }, "reportDate": { "$ref": "#/$defs/Date" }, "flaggedDate": { "$ref": "#/$defs/Date" }, "createdAt": { "$ref": "#/$defs/Date" }, "createdBy": { "type": "string" }, "updatedAt": { "$ref": "#/$defs/Date" }, "updatedBy": { "type": "string" }, "attachments": { "type": "array", "items": { "$ref": "#/$defs/Attachment1" } }, "verifiedDate": { "$ref": "#/$defs/Date" }, "verifiedBy": { "type": "string" }, "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "credWorkflowRecordOrigin": { "type": "string" }, "credentialingDisplayGroupKey": { "type": "string" } } }, "PractitionerRolesMapValue": { "type": "object", "properties": { "effectiveDate": { "$ref": "#/$defs/Date" }, "terminationDate": { "$ref": "#/$defs/Date" }, "continuityOfCare": { "type": "boolean" } } }, "SanctionsLineageValue": { "type": "object", "properties": { "dataAcquireDate": { "$ref": "#/$defs/Date" }, "sourceUpdateDate": { "$ref": "#/$defs/Date" }, "fileUrl": { "type": "string" }, "sourceType": { "type": "string" }, "sanctionType": { "type": "string" }, "typeOfAction": { "type": "string" }, "sourceName": { "type": "string" } } }, "Taxonomy": { "type": "object", "description": "Taxonomy classification for a GROUP NPI entry", "properties": { "code": { "type": "string", "description": "NUCC taxonomy code" }, "desc": { "type": "string", "description": "Human-readable taxonomy description" }, "license": { "type": "string" }, "primary": { "type": "boolean", "description": "Whether this is the primary taxonomy" }, "state": { "type": "string" }, "taxonomyGroup": { "type": "string" } } }, "TypeEnum": { "type": "string", "enum": [ "DEA", "CDS" ] } } }