{"npi":"1275326191","type":"NPI-2","status":"active","name":{"display":"Main Street Family Clinic LLC","other":[],"organization_name":"MAIN STREET FAMILY CLINIC LLC","authorised_official":"Beth Holderby"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"213 W MAIN ST","city":"CANTON","state":"OK","postal_code":"737241234","country_code":"US","phone":"4055069101","fax":"4059360561"},{"purpose":"MAILING","street_1":"PO BOX 57390","city":"OKLAHOMA CITY","state":"OK","postal_code":"731577390","country_code":"US","phone":"4055069101","fax":"4059360561"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20250718002464","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"OK","pac_id":"9335655117"}]},"enumeration_date":"2025-05-23","last_updated":"2025-07-09","_meta":{"source":"NPPES","snapshot_date":"2025-07-09","doc_url":"https://findmynpi.com/api"}}