{"npi":"1174582829","type":"NPI-2","status":"active","name":{"display":"Havasu Foot & Ankle Center","other":[],"organization_name":"HAVASU FOOT & ANKLE CENTER","authorised_official":"Barbara Novack"},"specialty":{"primary_taxonomy":"261QA1903X","primary_taxonomy_description":"Ambulatory Surgical Clinic/Center","slug":"ambulatory-surgical-clinic-center","schema_org_specialty":null,"all":[{"code":"261QA1903X","description":"Ambulatory Surgical Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"90 RIVIERA DR","city":"LAKE HAVASU CITY","state":"AZ","postal_code":"864035716","country_code":"US","phone":"9288557800","fax":"9288555392"},{"purpose":"MAILING","street_1":"90 RIVIERA DR","city":"LAKE HAVASU CITY","state":"AZ","postal_code":"864035716","country_code":"US","phone":"9288557800","fax":"9288555392"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"490002545","state":null,"issuer":"METRAHEALTH MEDICARE RR"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-03-21","last_updated":"2008-06-17","_meta":{"source":"NPPES","snapshot_date":"2008-06-17","doc_url":"https://findmynpi.com/api"}}