{
"Npi": {
"NPI": "1699903369",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "THRIVE ENTERPRISES, 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": "1008 WILLA SPRINGS DR",
"SecondLineMailingAddress": "SUITE 110",
"MailingAddressCityName": "WINTER SPRINGS",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "32708-5205",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "407-637-5891",
"MailingAddressFaxNumber": "407-636-6205",
"FirstLinePracticeLocationAddress": "1008 WILLA SPRINGS DR",
"SecondLinePracticeLocationAddress": "SUITE 110",
"PracticeLocationAddressCityName": "WINTER SPRINGS",
"PracticeLocationAddressStateName": "FL",
"PracticeLocationAddressPostalCode": "32708-5205",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "407-637-5891",
"PracticeLocationAddressFaxNumber": "407-636-6205",
"EnumerationDate": "07/01/2009",
"LastUpdateDate": "07/22/2016",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "JOHNSON",
"AuthorizedOfficialFirstName": "MARK",
"AuthorizedOfficialMiddleName": "DAVID",
"AuthorizedOfficialTitle": "SPECIALIST/PRESIDENT",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "HEARING AID SPECIALI",
"AuthorizedOfficialTelephoneNumber": "407-637-5891",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332S00000X",
"TaxonomyName": "Hearing Aid Equipment",
"LicenseNumber": "AS2511",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}