Individual provider Active NPI

Brian Paul O'Neal, CPED

  • Pedorthist
  • Mesa, AZ
National Provider Identifier
1649141920
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
License
CPED2705 Issued in AZ
Practice address
932 W Southern Ave Ste 7
Mesa, AZ 85210-4972
Phone
(480) 461-1940
Fax
(480) 461-3855
NPI assigned
Sep 17, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pedorthist 224L00000X CPED2705 AZ Primary
Prosthetist 224P00000X CPED2705 AZ
Orthotist 222Z00000X CPED2705 AZ

Addresses

Primary practice location

932 W Southern Ave Ste 7
Mesa, AZ 85210-4972

Mailing address

7127 E Jacob Ave
Mesa, AZ 85209-4027

Other practice location 1

301 S Power Rd Ste 101
Mesa, AZ 85206-5243
Phone (602) 772-2524

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

LicenseStateTypeSpecialty
CPED2705AZMDOrthotist

NPI Registry JSON

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

{
    "created_epoch": "1758067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1649141920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7127 E JACOB AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852094027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 W SOUTHERN AVE STE 7",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852104972",
            "telephone_number": "480-461-1940",
            "fax_number": "480-461-3855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 S Power Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852065243",
            "country_code": "US",
            "telephone_number": "602-772-2524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "BRIAN",
        "middle_name": "PAUL",
        "credential": "CPED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "AZ",
            "license": "CPED2705",
            "primary": true
        },
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "AZ",
            "license": "CPED2705",
            "primary": false
        },
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "AZ",
            "license": "CPED2705",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.