{
"Npi": {
"NPI": "1578538997",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "NICK COLUMBUS COMPANY INC",
"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": "401 ROYALL AVE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "GOLDSBORO",
"MailingAddressStateName": "NC",
"MailingAddressPostalCode": "27534-2568",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "919-736-3275",
"MailingAddressFaxNumber": "919-736-3261",
"FirstLinePracticeLocationAddress": "401 ROYALL AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "GOLDSBORO",
"PracticeLocationAddressStateName": "NC",
"PracticeLocationAddressPostalCode": "27534-2568",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "919-736-3275",
"PracticeLocationAddressFaxNumber": "919-736-3261",
"EnumerationDate": "02/20/2006",
"LastUpdateDate": "06/12/2013",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "COLUMBUS",
"AuthorizedOfficialFirstName": "NICK",
"AuthorizedOfficialMiddleName": "R",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "919-736-3275",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}