{
"Npi": {
"NPI": "1316489412",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "ONEKUBEDDESIGNS, LLC",
"ParentOrgTIN": null,
"OrgName": "FOLD & GO WHEELCHAIRS",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "2800 INDIAN DIVIDE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SPICEWOOD",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78669-1650",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "512-817-3653",
"MailingAddressFaxNumber": "512-846-8385",
"FirstLinePracticeLocationAddress": "2800 INDIAN DIVIDE RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "SPICEWOOD",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78669-1650",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "512-817-3653",
"PracticeLocationAddressFaxNumber": "512-870-9772",
"EnumerationDate": "11/07/2016",
"LastUpdateDate": "12/11/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "KLEIN",
"AuthorizedOfficialFirstName": "MICHELE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "CEO",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "CEO",
"AuthorizedOfficialTelephoneNumber": "512-817-3653",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": "1001841",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}