{"npi":"1760122006","type":"NPI-1","status":"active","name":{"display":"Justin Waller DPM","other":[],"first":"JUSTIN","last":"WALLER","credential":"DPM"},"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":"NC","license":"852"}]},"addresses":[{"purpose":"LOCATION","street_1":"1501 TATE BLVD SE","city":"HICKORY","state":"NC","postal_code":"286021384","country_code":"US","phone":"8283040400"},{"purpose":"MAILING","street_1":"1501 TATE BLVD SE","city":"HICKORY","state":"NC","postal_code":"286021384","country_code":"US","phone":"8033209070"}],"license":{"state":"NC","number":"852"},"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20250815001476","type_code":"14-48","type_desc":"PRACTITIONER - PODIATRY","state":"NC","pac_id":"6800278789"}]},"enumeration_date":"2022-04-01","last_updated":"2025-05-22","_meta":{"source":"NPPES","snapshot_date":"2025-05-22","doc_url":"https://findmynpi.com/api"}}