{
"Npi": {
"NPI": "1265452049",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "O2 SLEEP, 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": "PO BOX 482",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "CORDOVA",
"MailingAddressStateName": "TN",
"MailingAddressPostalCode": "38088-0482",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "901-526-0202",
"MailingAddressFaxNumber": "901-526-0300",
"FirstLinePracticeLocationAddress": "5042 THOROUGHBRED LN",
"SecondLinePracticeLocationAddress": "SUITE A",
"PracticeLocationAddressCityName": "BRENTWOOD",
"PracticeLocationAddressStateName": "TN",
"PracticeLocationAddressPostalCode": "37027-4232",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "615-377-9892",
"PracticeLocationAddressFaxNumber": "615-377-3212",
"EnumerationDate": "07/21/2006",
"LastUpdateDate": "10/19/2015",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "GUTKNECHT",
"AuthorizedOfficialFirstName": "WILLIAM",
"AuthorizedOfficialMiddleName": "R.",
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "901-553-1909",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "332BX2000X",
"TaxonomyName": "Oxygen Equipment & Supplies (DME)",
"LicenseNumber": "888",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "888",
"LicenseNumberStateCode": "TN",
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}