{
"Npi": {
"NPI": "1679643233",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "Y",
"ParentOrgLBN": "HANGER INC",
"ParentOrgTIN": null,
"OrgName": "GREAT PLAINS ORTHOTICS & PROSTHETICS, 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": "PO BOX 650846",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "DALLAS",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "75265-0846",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "515-576-8255",
"MailingAddressFaxNumber": "515-576-0017",
"FirstLinePracticeLocationAddress": "1609 CENTRAL AVE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "FORT DODGE",
"PracticeLocationAddressStateName": "IA",
"PracticeLocationAddressPostalCode": "50501-4231",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "515-576-8255",
"PracticeLocationAddressFaxNumber": "515-576-0017",
"EnumerationDate": "11/09/2006",
"LastUpdateDate": "03/06/2014",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "PRICE",
"AuthorizedOfficialFirstName": "SHERYL",
"AuthorizedOfficialMiddleName": "S",
"AuthorizedOfficialTitle": "DIRECTOR OF REIMBURSEMENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": "503-493-8288",
"Taxonomies": {
"Taxonomy": [
{
"TaxonomyCode": "332BC3200X",
"TaxonomyName": "Customized Equipment (DME)",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "N"
},
{
"TaxonomyCode": "335E00000X",
"TaxonomyName": "Prosthetic/Orthotic Supplier",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
]
},
"HealthcareProviderTaxonomyGroups": null
}
}