{"entity":{"entity_id":"657f813a-646f-413f-b38c-c4df6b23cd43","entity_type":"person","display_name":"JAMES DOWD","state":"VA","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T02:52:50.854445+00:00","updated_at":"2026-06-11T02:52:50.854445+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"140374","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1104855667","rule":"D-OP-NPI","recipient_profile_id":"140374"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T04:39:03.541805+00:00","recorded_at":"2026-06-13T04:39:03.541805+00:00"},{"id_scheme":"npi","id_value":"1104855667","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1104855667","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T02:52:53.577923+00:00","recorded_at":"2026-06-11T02:52:53.577923+00:00"},{"id_scheme":"pac_id","id_value":"6002942976","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1104855667","rule":"D-PECOS","enrlmt_id":"I20100330000789","pecos_asct_cntl_id":"6002942976"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:35:50.700402+00:00","recorded_at":"2026-06-12T18:35:50.700402+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20100330000789","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1104855667","rule":"D-PECOS","enrlmt_id":"I20100330000789"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:35:50.700402+00:00","recorded_at":"2026-06-12T18:35:50.700402+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"889ae6a2-3123-4e1e-b6ad-d94ae1dbd1c4","entity_type":"organization","display_name":"Ethicon US, LLC","state":"OH"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1104855667","manufacturer_id":"100000061307","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T13:49:02.170391+00:00","recorded_at":"2026-06-13T13:49:02.170391+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"dc229bdd-5d6d-4c4e-bf31-8925b5fb43de","entity_type":"organization","display_name":"DePuy Synthes Products, Inc.","state":"MA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1104855667","manufacturer_id":"100000005601","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T13:52:16.099179+00:00","recorded_at":"2026-06-13T13:52:16.099179+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"7d49cd7f-b873-4d35-a44f-2a37fa5da221","entity_type":"organization","display_name":"Medical Device Business Services, Inc.","state":"IN"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1104855667","manufacturer_id":"100000005706","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T13:53:29.313755+00:00","recorded_at":"2026-06-13T13:53:29.313755+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"5e7bfd20-c4ca-49d7-a7e9-4e94e95f51a5","entity_type":"organization","display_name":"DePuy Synthes Sales Inc.","state":"MA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1104855667","manufacturer_id":"100000005615","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T13:55:08.356054+00:00","recorded_at":"2026-06-13T13:55:08.356054+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"df8deb53-5301-45cd-8d65-b69918886213","entity_type":"organization","display_name":"KYOCERA MEDICAL TECHNOLOGIES, INC.","state":"CA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1104855667","manufacturer_id":"100000506825","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T23:45:23.360824+00:00","recorded_at":"2026-06-13T23:45:23.360824+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"04d32d8d-a1ae-47c2-9c1a-258d59987db7","entity_type":"organization","display_name":"MEDACTA USA, INC.","state":"TN"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1104855667","manufacturer_id":"100000000078","nature_of_payment":"Consulting Fee"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T03:49:50.594278+00:00","recorded_at":"2026-06-14T03:49:50.594278+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}