{"npi":"1528117553","type":"NPI-2","status":"active","name":{"display":"Southside Foot Clinic P C","other":[],"organization_name":"SOUTHSIDE FOOT CLINIC P C","authorised_official":"J Winckelbach"},"specialty":{"primary_taxonomy":"213E00000X","primary_taxonomy_description":"Podiatry","slug":"podiatry","schema_org_specialty":"Podiatric","all":[{"code":"213ES0103X","description":"Foot & Ankle Surgery Podiatrist","primary":false,"state":"IN","license":"07000316"},{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"213E00000X","description":"Podiatry","primary":true,"state":"IN","license":"07000316"}]},"addresses":[{"purpose":"LOCATION","street_1":"33 E COUNTY LINE RD STE B","city":"GREENWOOD","state":"IN","postal_code":"461431043","country_code":"US","phone":"3178829303","fax":"3178826605"},{"purpose":"MAILING","street_1":"33 E COUNTY LINE RD STE B","city":"GREENWOOD","state":"IN","postal_code":"461431043","country_code":"US","phone":"3178829303","fax":"3178826605"}],"license":{"state":"IN","number":"07000316"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20080108000149","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IN","pac_id":"7113007899"},{"enrlmt_id":"O20100930047567","type_code":"30-48","type_desc":"DME SUPPLIER - PHYSICIAN - PODIATRY","state":"IN","pac_id":"7113007899"}]},"enumeration_date":"2007-01-09","last_updated":"2008-02-04","_meta":{"source":"NPPES","snapshot_date":"2008-02-04","doc_url":"https://findmynpi.com/api"}}