Active NPI
Joseph Patrick O'Neill
- Hearing Instrument Specialist
- Des Moines, WA
National Provider Identifier
1487846457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 643
- Practice address
- 21638 Marine View Dr S
Des Moines, WA 98198-6154 - Phone
- (206) 592-9521
- NPI assigned
- Aug 14, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 643 | WA | Primary |
Addresses
Primary practice location
21638 Marine View Dr S
Des Moines, WA 98198-6154
Mailing address
21638 Marine View Dr S
Des Moines, WA 98198-6154
Phone (206) 592-9521
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122157 | Other | WA | LABOR AND INDUSTRIES |
| 0147948138 | Other | WA | HEAR PO |
| 9046012 | Medicaid | WA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 643 | WA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1487846457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21638 MARINE VIEW DR S",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981986154",
"telephone_number": "206-592-9521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21638 MARINE VIEW DR S",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981986154",
"telephone_number": "206-592-9521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEILL",
"first_name": "JOSEPH",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WA",
"license": "643",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "122157",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEAR PO",
"identifier": "0147948138",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9046012",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.