Edward Joseph O'Neill, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH7310 Issued in FL

Practice address

16517 Vanderbilt Dr
Suite 1
Bonita Springs, FL 34134-7550

Phone

(239) 992-5311

Fax

(239) 947-6338

NPI assigned

Aug 30, 2005

Reactivated

Apr 11, 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

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321833600000",
    "number": "1376536896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16517 VANDERBILT DR",
            "address_2": "SUITE 1",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347550",
            "telephone_number": "239-992-5311",
            "fax_number": "239-947-6338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16517 VANDERBILT DR",
            "address_2": "SUITE 1",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347550",
            "telephone_number": "239-992-5311",
            "fax_number": "239-947-6338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEILL",
        "first_name": "EDWARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2011-11-21",
        "deactivation_date": "2006-04-05",
        "reactivation_date": "2006-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "381303700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Leslie Marie O'Dowd, DDS
• Amanda Lauren Okada
• Brian Michael Olitsky, D.M.D.
• Jeffrey Charles Olson, DO
• Optimal Health Chiropractic, PLC
• Optimal Health Clinic Inc

• Chiropractor in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.