{
"Npi": {
"NPI": "1205894888",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "PROSTHEIC SOLUTIONS INC.",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "1479 PARKER RD SE",
"SecondLineMailingAddress": "SUITE 600",
"MailingAddressCityName": "CONYERS",
"MailingAddressStateName": "GA",
"MailingAddressPostalCode": "30094-6636",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "770-483-7060",
"MailingAddressFaxNumber": "770-483-9292",
"FirstLinePracticeLocationAddress": "1479 PARKER RD SE",
"SecondLinePracticeLocationAddress": "SUITE 600",
"PracticeLocationAddressCityName": "CONYERS",
"PracticeLocationAddressStateName": "GA",
"PracticeLocationAddressPostalCode": "30094-6636",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "770-483-7060",
"PracticeLocationAddressFaxNumber": "770-483-9292",
"EnumerationDate": "05/03/2006",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HUGGINS",
"AuthorizedOfficialFirstName": "DAVID",
"AuthorizedOfficialMiddleName": "E",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CP",
"AuthorizedOfficialTelephoneNumber": "770-483-7060",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QA0900X",
"TaxonomyName": "Amputee Clinic/Center",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}