{
"Npi": {
"NPI": "1962524900",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "FNJ HEARINGDBAECONOMY HEARING AID CENTER AND NATIONAL HEARING CENTERS",
"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": "197 MEADOWLAND",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "UNIVERSAL CITY",
"MailingAddressStateName": "TX",
"MailingAddressPostalCode": "78148-3700",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "210-279-7662",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "130 W MAIN ST STE D",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "KERRVILLE",
"PracticeLocationAddressStateName": "TX",
"PracticeLocationAddressPostalCode": "78028-5263",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "830-896-9600",
"PracticeLocationAddressFaxNumber": "830-896-9602",
"EnumerationDate": "04/03/2007",
"LastUpdateDate": "08/22/2020",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "STOOPS",
"AuthorizedOfficialFirstName": "ROGER",
"AuthorizedOfficialMiddleName": "TAZE",
"AuthorizedOfficialTitle": "OWNER",
"AuthorizedOfficialNamePrefix": "MR.",
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "BC HIS",
"AuthorizedOfficialTelephoneNumber": "830-896-9600",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "332S00000X",
"TaxonomyName": "Hearing Aid Equipment",
"LicenseNumber": "50638",
"LicenseNumberStateCode": "TX",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}