{
"Npi": {
"NPI": "1790094720",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "GULF COAST HEARING SYSTEMS",
"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": "23 MARKS RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "OCEAN SPRINGS",
"MailingAddressStateName": "MS",
"MailingAddressPostalCode": "39564-4351",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "228-875-0986",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "23 MARKS RD",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "OCEAN SPRINGS",
"PracticeLocationAddressStateName": "MS",
"PracticeLocationAddressPostalCode": "39564-4351",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "228-875-0986",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "09/24/2010",
"LastUpdateDate": "09/24/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "ADAMS",
"AuthorizedOfficialFirstName": "BRITTAIN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "HEARING INSTRUMENT SPECIALIST",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "NBC-HIS",
"AuthorizedOfficialTelephoneNumber": "228-875-0986",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332S00000X",
"TaxonomyName": "Hearing Aid Equipment",
"LicenseNumber": "HA0566",
"LicenseNumberStateCode": "MS",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}