{
"Npi": {
"NPI": "1508991399",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GRAHAM HEARING AID CENTER, 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 809",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GRAHAM",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "76450-0809",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "940-549-5452",
"MailingAddressFaxNumber": "940-549-6200",
"FirstLinePracticeLocationAddress": "1714 HIGHWAY 16 S",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GRAHAM",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "76450-4606",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "940-549-5452",
"PracticeLocationAddressFaxNumber": "940-549-6200",
"EnumerationDate": "02/22/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "HEDAYATI",
"AuthorizedOfficialFirstName": "JEANETTE",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": "MRS.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "940-549-5452",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332S00000X",
"TaxonomyName": "Hearing Aid Equipment",
"LicenseNumber": "50481",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}