{
"Npi": {
"NPI": "1518394824",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "AMERICAN ORTHOPAEDICS & DIABETIC SHOES 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": "4706 CHIQUITA BLVD S",
"SecondLineMailingAddress": "SUITE 200 PMB 408",
"MailingAddressCityName": "CAPE CORAL",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "33914-6321",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "239-541-9480",
"MailingAddressFaxNumber": "239-471-7311",
"FirstLinePracticeLocationAddress": "621 CAPE CORAL PKWY E",
"SecondLinePracticeLocationAddress": "SUITE 1",
"PracticeLocationAddressCityName": "CAPE CORAL",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "33904-7515",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "239-541-9480",
"PracticeLocationAddressFaxNumber": "239-471-7311",
"EnumerationDate": "10/01/2013",
"LastUpdateDate": "12/11/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RHODES",
"AuthorizedOfficialFirstName": "JAY",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MISS",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "L.O.F.",
"AuthorizedOfficialTelephoneNumber": "239-541-9480",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "335E00000X",
"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": "ORF119",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}