{
"Npi": {
"NPI": "1861716441",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "MCGEE'S HEARING CENTER, LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "703 LONG ROAD CROSSING DR",
"SecondLineMailingAddress": "5",
"MailingAddressCityName": "CHESTERFIELD",
"MailingAddressStateName": "MO",
"MailingAddressPostalCode": "63005-1159",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "636-536-0055",
"MailingAddressFaxNumber": "636-536-6804",
"FirstLinePracticeLocationAddress": "703 LONG ROAD CROSSING DR",
"SecondLinePracticeLocationAddress": "5",
"PracticeLocationAddressCityName": "CHESTERFIELD",
"PracticeLocationAddressStateName": "MO",
"PracticeLocationAddressPostalCode": "63005-1159",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "636-536-0055",
"PracticeLocationAddressFaxNumber": "636-536-6804",
"EnumerationDate": "03/25/2010",
"LastUpdateDate": "03/25/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "MCGEE",
"AuthorizedOfficialFirstName": "ROBIN",
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": "PRESIDENT",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "HIS",
"AuthorizedOfficialTelephoneNumber": "636-536-0055",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332S00000X",
"TaxonomyName": "Hearing Aid Equipment",
"LicenseNumber": "2002012706",
"LicenseNumberStateCode": "MO",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}