{
"Npi": {
"NPI": "1578681581",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BIKE-ON.COM, 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": "54 TIFFANY RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "COVENTRY",
"MailingAddressStateName": "RI",
"MailingAddressPostalCode": "02816-4417",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "401-615-0339",
"MailingAddressFaxNumber": "401-821-7544",
"FirstLinePracticeLocationAddress": "54 TIFFANY RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "COVENTRY",
"PracticeLocationAddressStateName": "RI",
"PracticeLocationAddressPostalCode": "02816-4417",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "401-615-0339",
"PracticeLocationAddressFaxNumber": "401-821-7544",
"EnumerationDate": "03/27/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PELLETT",
"AuthorizedOfficialFirstName": "SCOTT",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "VICE PRESIDENT, SECRETARY",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "401-615-0339",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332B00000X",
"TaxonomyName": "Durable Medical Equipment & Medical Supplies",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}