Tracy Lee O'Neal, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

811 Issued in NE

Practice address

302 W 40TH St
Scottsbluff, NE 69361-4633

Phone

(308) 632-8779

Fax

(308) 632-7688

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266192000000",
    "number": "1255434650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W 40TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614633",
            "telephone_number": "308-632-8779",
            "fax_number": "308-632-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W 40TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614633",
            "telephone_number": "308-632-8779",
            "fax_number": "308-632-7688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "TRACY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2010-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47075044613",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jody L Nunez
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• Jaden Nyberg, PH.D.
• Susan I O'Leary
• Michael Sean O'Neill, MD
• Obstetrix Medical Group of Colorado, PC
• Jerralee Malynda Olbricht
• Tami Lynn Oliver
• Angela Olmos

• Chiropractor in Scottsbluff, NE
• Providers in Scottsbluff, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; 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.