Data Dictionary

Column Type Label Description
ENROLLMENT ID text
ENROLLMENT STATE text
PROVIDER TYPE CODE text
PROVIDER TYPE TEXT text
NPI numeric
MULTIPLE NPI FLAG text
CCN numeric
ASSOCIATE ID numeric
ORGANIZATION NAME text
DOING BUSINESS AS NAME text
INCORPORATION DATE timestamp
INCORPORATION STATE text
ORGANIZATION TYPE STRUCTURE text
ORGANIZATION OTHER TYPE TEXT text
PROPRIETARY_NONPROFIT text
ADDRESS LINE 1 text
ADDRESS LINE 2 text
CITY text
STATE text
ZIP CODE numeric
PRACTICE LOCATION TYPE text
LOCATION OTHER TYPE TEXT text

Additional Information

Field Value
Data last updated June 18, 2025
Metadata last updated June 18, 2025
Created unknown
Format CSV
License No License Provided
Created1 week ago
Media typetext/csv
Size1,904
Datastore activeTrue
Has viewsTrue
Id7eb46430-63a0-48c2-bcfc-676eedabcf40
Package id9dc03d9e-053a-49ca-89c8-0238887e92d2
Position2
Stateactive
Url typeupload