Organization Active NPI

Oliver Dale Bagley D.P.M., Inc.

  • Primary Podiatric Medicine Podiatrist
  • Redding, CA
National Provider Identifier
1245403666
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
E1237 Issued in CA
Legal business name
OLIVER DALE BAGLEY D.P.M., INC.
Practice address
1310 Continental St
Redding, CA 96001-0839
Phone
(530) 244-0674
Fax
(530) 244-1033
NPI assigned
Apr 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Dr. Oliver D. Bagley, D.P.M.
Title
Owner
Phone
(530) 244-0674

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213EP1101X E1237 CA Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X E1237 CA

Addresses

Primary practice location

1310 Continental St
Redding, CA 96001-0839

Mailing address

1310 Continental St
Redding, CA 96001-0839
Phone (530) 244-0674

National Provider Directory

National Provider Directory

Locations

2530 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 527-7584

1310 Continental St
Redding, CA 96001
Phone (530) 410-2402

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1245403666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 CONTINENTAL ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010839",
            "telephone_number": "530-244-0674",
            "fax_number": "530-244-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 CONTINENTAL ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010839",
            "telephone_number": "530-244-0674",
            "fax_number": "530-244-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVER DALE BAGLEY D.P.M., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "BAGLEY",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-244-0674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E1237",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E1237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.