{"entity":{"entity_id":"616da0a6-9335-45ef-9896-dbf7bb4e36b5","entity_type":"person","display_name":"DAVID VANCE","state":"WA","status":"active","merged_into":null,"methodology_version":"entity-graph/v1","created_at":"2026-06-11T07:28:38.114632+00:00","updated_at":"2026-06-11T07:28:38.114632+00:00"},"identifiers":[{"id_scheme":"cms_op_profile_id","id_value":"15272","source_table":"cms_open_payments","link_method":"exact_npi_in_open_payments","link_confidence":1,"source_evidence":{"npi":"1326261637","rule":"D-OP-NPI","recipient_profile_id":"15272"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T05:50:47.929348+00:00","recorded_at":"2026-06-13T05:50:47.929348+00:00"},{"id_scheme":"npi","id_value":"1326261637","source_table":"nppes_providers","link_method":"deterministic_pk","link_confidence":1,"source_evidence":{"rule":"D-NPI","source_pk":"1326261637","entity_type_code":"1"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-11T07:28:39.894051+00:00","recorded_at":"2026-06-11T07:28:39.894051+00:00"},{"id_scheme":"pac_id","id_value":"6305034190","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1326261637","rule":"D-PECOS","enrlmt_id":"I20101221000340","pecos_asct_cntl_id":"6305034190"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:49:05.559753+00:00","recorded_at":"2026-06-12T18:49:05.559753+00:00"},{"id_scheme":"pecos_enrlmt_id","id_value":"I20101221000340","source_table":"pecos_providers","link_method":"exact_npi_in_pecos","link_confidence":1,"source_evidence":{"npi":"1326261637","rule":"D-PECOS","enrlmt_id":"I20101221000340"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-12T18:49:05.559753+00:00","recorded_at":"2026-06-12T18:49:05.559753+00:00"}],"edges":[{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"eb5ea400-a96e-468d-adce-98f107e63e42","entity_type":"organization","display_name":"Bayer Healthcare Pharmaceuticals Inc.","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1326261637","manufacturer_id":"100000005467","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T14:33:28.208511+00:00","recorded_at":"2026-06-13T14:33:28.208511+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"43d39426-7e85-4c26-959c-f244cabb90df","entity_type":"organization","display_name":"Boston Scientific Corporation","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":"1326261637","manufacturer_id":"100000005674","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T15:24:57.576965+00:00","recorded_at":"2026-06-13T15:24:57.576965+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"eb9936b5-5e3f-4d6a-9cd2-6d0e8e33c4e0","entity_type":"organization","display_name":"Olympus America Inc.","state":"PA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1326261637","manufacturer_id":"100000005451","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T20:06:08.644906+00:00","recorded_at":"2026-06-13T20:06:08.644906+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"a0fc8d47-d63f-41f6-b5c6-6656eea19645","entity_type":"organization","display_name":"Abbott Laboratories","state":"IL"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1326261637","manufacturer_id":"100000010680","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T23:13:25.92187+00:00","recorded_at":"2026-06-13T23:13:25.92187+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"f1cfefd3-682f-4126-94bf-e0620953bb79","entity_type":"organization","display_name":"IMMUNITYBIO, 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":"1326261637","manufacturer_id":"100001447519","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T23:22:47.907409+00:00","recorded_at":"2026-06-13T23:22:47.907409+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"e10ace5b-aa23-49f3-a614-73a3bcc49fec","entity_type":"organization","display_name":"PROGENICS PHARMACEUTICALS, 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":"1326261637","manufacturer_id":"100000506815","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-13T23:39:08.787894+00:00","recorded_at":"2026-06-13T23:39:08.787894+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"effc91ed-4762-49a8-9b27-a28fcfdcd988","entity_type":"organization","display_name":"UROGEN PHARMA, INC.","state":"NJ"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1326261637","manufacturer_id":"100000776811","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:16:41.449608+00:00","recorded_at":"2026-06-14T02:16:41.449608+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"70883183-a272-4187-a01d-6dfd2e6eb195","entity_type":"organization","display_name":"Endo USA, Inc.","state":"PA"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1326261637","manufacturer_id":"100001411985","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T02:19:50.562927+00:00","recorded_at":"2026-06-14T02:19:50.562927+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"fd3c2749-8925-4881-b0ff-a50346cb3479","entity_type":"organization","display_name":"Sumitomo Pharma America, 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":"1326261637","manufacturer_id":"100001316929","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:09:36.234436+00:00","recorded_at":"2026-06-14T05:09:36.234436+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"fdcde4f5-7af0-4ff8-a840-83673fd84622","entity_type":"organization","display_name":"Myriad Genetic Laboratories, Inc.","state":"UT"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1326261637","manufacturer_id":"100000136378","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T05:58:04.950413+00:00","recorded_at":"2026-06-14T05:58:04.950413+00:00"},{"direction":"inbound","edge_type":"pays","neighbor":{"entity_id":"28f97b3d-5f8f-4339-ad8d-3be5051c3d62","entity_type":"organization","display_name":"Laborie Medical Technologies Corp.","state":"NH"},"attributes":{"source":"cms_open_payments"},"link_confidence":1,"source_table":"cms_open_payments","source_evidence":{"rule":"D-OP-PAYS","record_type":"general","recipient_npi":"1326261637","manufacturer_id":"100000136464","nature_of_payment":"Food and Beverage"},"methodology_version":"entity-graph/v1","valid_from":"2026-06-14T06:34:11.770616+00:00","recorded_at":"2026-06-14T06:34:11.770616+00:00"}],"edges_truncated":false,"methodology_version":"entity-graph/v1"}