UnitedHealthcare · JSON Structure

Provider Provider Demographics Structure

Healthcare provider demographic and credentialing information

Type: object Properties: 0
Health InsuranceHealthcareFHIRClaimsEligibility

UnitedHealthcare Provider Demographics is a JSON Structure definition published by UnitedHealthcare. It conforms to the https://json-structure.org/meta/core/v0/# meta-schema.

Meta-schema: https://json-structure.org/meta/core/v0/#

JSON Structure

Raw ↑ 
{
  "$schema": "https://json-structure.org/meta/core/v0/#",
  "$id": "https://raw.githubusercontent.com/api-evangelist/unitedhealthcare/refs/heads/main/json-structure/provider-demographics-structure.json",
  "name": "UnitedHealthcare Provider Demographics",
  "type": "object",
  "description": "Healthcare provider demographic and credentialing information",
  "fields": [
    {
      "name": "npi",
      "type": "string",
      "description": "National Provider Identifier"
    },
    {
      "name": "firstName",
      "type": "string",
      "description": "Provider first name"
    },
    {
      "name": "lastName",
      "type": "string",
      "description": "Provider last name"
    },
    {
      "name": "organizationName",
      "type": "string",
      "description": "Organization name"
    },
    {
      "name": "providerType",
      "type": "string",
      "description": "Provider type",
      "enum": [
        "INDIVIDUAL",
        "ORGANIZATION"
      ]
    },
    {
      "name": "specialty",
      "type": "string",
      "description": "Primary specialty"
    },
    {
      "name": "subspecialties",
      "type": "array",
      "description": "Subspecialties",
      "items": {
        "type": "string"
      }
    },
    {
      "name": "networkStatus",
      "type": "string",
      "description": "Network status",
      "enum": [
        "IN_NETWORK",
        "OUT_OF_NETWORK"
      ]
    },
    {
      "name": "acceptingNewPatients",
      "type": "boolean",
      "description": "Accepting new patients"
    },
    {
      "name": "address",
      "type": "object",
      "description": "Practice address"
    },
    {
      "name": "phone",
      "type": "string",
      "description": "Office phone number"
    },
    {
      "name": "languages",
      "type": "array",
      "description": "Languages spoken",
      "items": {
        "type": "string"
      }
    },
    {
      "name": "boardCertifications",
      "type": "array",
      "description": "Board certifications",
      "items": {
        "type": "string"
      }
    }
  ]
}