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See the proof

Built on the authoritative federal record

The primary sources, named on every page.

These are the federal agencies whose public datasets Fonteum ingests and attributes — the issuing authorities, not customers or partners. Every figure on the site links back to one of them.

  • CMS
  • HHS-OIG
  • HRSA
  • FDA
  • NLM
  • NUCC
  • Census
  • BLS
  • BEA

See the full source registry, with license and refresh cadence for each →

Reproducible by design

Every figure traces to its federal source.

14-tuple provenance

Every rendered fact ties to a source URL, dataset ID, snapshot date, row key, and SHA-256 — the full chain-of-custody record.

Reproducible SQL

Each study ships the exact query behind its figures, run against the cited federal snapshot. Re-run it yourself.

Daily reconciliation

Published counts are reconciled against the upstream federal datasets on a daily cadence, with drift logged.

Named medical review

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

Read the full provenance and attestation methodology →

Two doors

Use the free API and open data

Query providers, facilities, sanctions, and quality scores — each field carrying its federal source. Self-serve, no call to start.

Explore the API →Browse the data catalog →

Talk to us

Managed pilots, enterprise terms, and audit-ready, signed attestation packages for compliance, risk, and research teams.

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Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.

© 2026 Fonteum LLC. All rights reserved.

The U.S. healthcare graph AI can cite — every fact carries its source.

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The substrate, by the numbers

9.2Mgraph entitiesProviders, organizations, owners, and facilities
13.9Mlinked identifiersNPIs, CCNs, LEIs and more, resolved to entities
4.7Mgraph edgesSource-attested relationships between entities
44federal source familiesDistinct CMS, OIG, HRSA, FDA and peer datasets
35dataset pagesCitable, downloadable /data catalog pages
53reproducible studiesEach shipping the SQL behind its figures
CHAIN INTEGRITY

Every snapshot signed. Every change chained.

Each Fonteum snapshot is SHA-256 digested, Ed25519 signed, and hash-chained to the one before it — a Certificate-Transparency-style log where any change to a published fact is detectable by a single recomputation.

View public chainRead methodology
Live status
latest snapshot2026-06-15T11:40:56.292678+00:00 (15 hours ago)
latest digest (sha256)
e46364aee887… (expand)e46364aee887a1c9da3ef9f5440500dd054b0717d3e69de244b190f093b35d93
chain length1 signed snapshots
signing key (ed25519)ee:4b:9a:97:c6:04:1d:76 · fonteum-chain-2026-05-30

How the chain works

01

Snapshot taken

Every dataset refresh produces a complete snapshot, SHA-256 digested at write time so its content is fixed to a single fingerprint.

02

Snapshot signed

The digest is signed with Fonteum's Ed25519 key. The matching public key is published, so anyone can confirm the signature offline.

03

Snapshot chained

Each digest references the prior snapshot's hash, forming an append-only, tamper-evident chain — alter one row and every later hash stops matching.

Inspect any snapshot

Diff two snapshots of a dataset and get every changed field with its full 14-tuple provenance attached. Try it now with the public pk_dx_sample key:

curl -s https://fonteum.com/api/v1/snapshots/diff \
  -H "Authorization: Bearer pk_dx_sample" \
  -H "Content-Type: application/json" \
  -d '{
    "dataset": "nppes",
    "from_snapshot": "2026-04-01T00:00:00Z",
    "to_snapshot": "2026-05-01T00:00:00Z",
    "fields": ["taxonomy", "addresses"]
  }'

Response shape

{
  "dataset": "nppes",
  "from_snapshot": { "digest": "…", "signature": "…", "signing_key_fingerprint": "…" },
  "to_snapshot":   { "digest": "…", "signature": "…", "signing_key_fingerprint": "…" },
  "changes": [
    {
      "npi": "1234567890",
      "field": "taxonomy",
      "change_type": "modified",
      "before": { "value": "…", "provenance": { /* 14-tuple */ } },
      "after":  { "value": "…", "provenance": { /* 14-tuple */ } }
    }
  ],
  "summary": { "total_changes": 2, "added": 0, "removed": 0, "modified": 2 }
}

Full reference: /docs/api/snapshots-diff

Public signing key
5ea9547e26ebaf18425098106658d4f979c6380c90ea7d0ea9f11bf917e71c87
  • → Walk the canonical chain
  • → Fetch the public key (text/plain hex)
  • → Download the signed-snapshots manifest (JSON)
READY TO INSPECT

Audit any field, any time.

Call the snapshot diff API with pk_dx_sample, or drop our MCP server into your agent. No signup. No credit card. Live demo key.

Add Fonteum to your agent →Request pilot access