{
"Npi": {
"NPI": "1497932248",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "DOCKTOUR4U LLC",
"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 1366",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "HONOKAA",
"MailingAddressStateName": "HI",
"MailingAddressPostalCode": "96727-1366",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "716-299-8570",
"MailingAddressFaxNumber": "855-954-0016",
"FirstLinePracticeLocationAddress": "89 HOOKELE ST STE 102",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KAHULUI",
"PracticeLocationAddressStateName": "HI",
"PracticeLocationAddressPostalCode": "96732-3532",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "716-299-8570",
"PracticeLocationAddressFaxNumber": "855-954-0016",
"EnumerationDate": "01/23/2008",
"LastUpdateDate": "06/30/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HARPER",
"AuthorizedOfficialFirstName": "IRVING",
"AuthorizedOfficialMiddleName": "WILLIAM",
"AuthorizedOfficialTitle": "MEMBER/ MANAGER",
"AuthorizedOfficialNamePrefix": "DR.",
"AuthorizedOfficialNameSuffix": "III",
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "716-299-8570",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "261QP2300X",
"TaxonomyName": "Primary Care Clinic/Center",
"LicenseNumber": "12617",
"LicenseNumberStateCode": "HI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}