UnitedHealthcare Provider Demographics

Healthcare provider demographic and credentialing information

Health InsuranceHealthcareFHIRClaimsEligibility

Properties

Name	Type	Description
npi	string	National Provider Identifier
firstName	string	Provider first name
lastName	string	Provider last name
organizationName	string	Organization name
providerType	string	Provider type
specialty	string	Primary specialty
subspecialties	array	Subspecialties
networkStatus	string	Network status
acceptingNewPatients	boolean	Accepting new patients
address	object	Practice address
phone	string	Office phone number
languages	array	Languages spoken
boardCertifications	array	Board certifications

View JSON Schema on GitHub

JSON Schema

{
  "$schema": "https://json-schema.org/draft/2020-12/schema",
  "$id": "https://raw.githubusercontent.com/api-evangelist/unitedhealthcare/refs/heads/main/json-schema/provider-provider-demographics-schema.json",
  "title": "UnitedHealthcare Provider Demographics",
  "description": "Healthcare provider demographic and credentialing information",
  "type": "object",
  "properties": {
    "npi": {
      "type": "string",
      "description": "National Provider Identifier"
    },
    "firstName": {
      "type": "string",
      "description": "Provider first name"
    },
    "lastName": {
      "type": "string",
      "description": "Provider last name"
    },
    "organizationName": {
      "type": "string",
      "description": "Organization name"
    },
    "providerType": {
      "type": "string",
      "enum": [
        "INDIVIDUAL",
        "ORGANIZATION"
      ],
      "description": "Provider type"
    },
    "specialty": {
      "type": "string",
      "description": "Primary specialty"
    },
    "subspecialties": {
      "type": "array",
      "items": {
        "type": "string"
      },
      "description": "Subspecialties"
    },
    "networkStatus": {
      "type": "string",
      "enum": [
        "IN_NETWORK",
        "OUT_OF_NETWORK"
      ],
      "description": "Network status"
    },
    "acceptingNewPatients": {
      "type": "boolean",
      "description": "Accepting new patients"
    },
    "address": {
      "type": "object",
      "description": "Practice address",
      "properties": {
        "street1": {
          "type": "string"
        },
        "street2": {
          "type": "string"
        },
        "city": {
          "type": "string"
        },
        "state": {
          "type": "string"
        },
        "zip": {
          "type": "string"
        }
      }
    },
    "phone": {
      "type": "string",
      "description": "Office phone number"
    },
    "languages": {
      "type": "array",
      "items": {
        "type": "string"
      },
      "description": "Languages spoken"
    },
    "boardCertifications": {
      "type": "array",
      "items": {
        "type": "string"
      },
      "description": "Board certifications"
    }
  }
}

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