{"npi":"1689716516","type":"NPI-2","status":"active","name":{"display":"Rock River Foot & Ankle Clinic, Sc","other":[],"organization_name":"ROCK RIVER FOOT & ANKLE CLINIC, SC","authorised_official":"Victor Soderstrom"},"specialty":{"primary_taxonomy":"213ES0103X","primary_taxonomy_description":"Foot & Ankle Surgery Podiatrist","slug":"foot-ankle-surgery-podiatrist","schema_org_specialty":null,"all":[{"code":"213ES0103X","description":"Foot & Ankle Surgery Podiatrist","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1025 MULBERRY ST","city":"LAKE MILLS","state":"WI","postal_code":"535511304","country_code":"US","phone":"9202619591","fax":"9202619671"},{"purpose":"MAILING","street_1":"101 OAKRIDGE CT","city":"WATERTOWN","state":"WI","postal_code":"530944100","country_code":"US","street_2":"SUITE A","phone":"9202619610","fax":"9202619671"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"43264800","state":"WI","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2007-02-14","last_updated":"2007-11-01","_meta":{"source":"NPPES","snapshot_date":"2007-11-01","doc_url":"https://findmynpi.com/api"}}