Individual provider Active NPI

James Joseph O'Neal, D.C.

  • Chiropractor
  • Santa Rosa, CA
National Provider Identifier
1104985068
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16786 Issued in CA
Practice address
1007 W College Ave Ste C
Santa Rosa, CA 95401-5046
Phone
(707) 575-3444
Fax
(707) 575-8943
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16786 CA Primary

Addresses

Primary practice location

1007 W College Ave Ste C
Santa Rosa, CA 95401-5046

Mailing address

1007 W College Ave Ste C
Santa Rosa, CA 95401-5046
Phone (707) 575-3444

Other identifiers 1

IdentifierTypeStateIssuer
1941812OtherCAMEDI-CAL PIN #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1104985068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 W COLLEGE AVE STE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015046",
            "telephone_number": "707-575-3444",
            "fax_number": "707-575-8943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 W COLLEGE AVE STE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954015046",
            "telephone_number": "707-575-3444",
            "fax_number": "707-575-8943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PIN #",
            "identifier": "1941812",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.