Individual provider Active NPI

Aaron William Dooley, C PED

  • Pedorthist
  • Saint Paul, MN
National Provider Identifier
1649518762
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
License
CPED3494 Issued in MN
Practice address
1253 James Ave
Saint Paul, MN 55105-2947
Phone
(651) 334-5469
Fax
(651) 319-9003
NPI assigned
Jan 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X CPED3494 MN
Pedorthist 224L00000X CPED3494 MN Primary

Addresses

Primary practice location

1253 James Ave
Saint Paul, MN 55105-2947

Mailing address

1253 James Ave
Saint Paul, MN 55105-2947
Phone (651) 334-5469

Other practice location 1

2611 Schaller Dr E
Maplewood, MN 55119-5868
Phone (651) 334-5469

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
CPED3494MNMDPedorthist

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1649518762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 JAMES AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052947",
            "telephone_number": "651-334-5469",
            "fax_number": "651-319-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 JAMES AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551052947",
            "telephone_number": "651-334-5469",
            "fax_number": "651-319-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2611 Schaller Dr E",
            "address_purpose": "LOCATION",
            "city": "Maplewood",
            "state": "MN",
            "postal_code": "551195868",
            "country_code": "US",
            "telephone_number": "651-334-5469",
            "fax_number": "800-285-0337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "AARON",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "C PED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "MN",
            "license": "CPED3494",
            "primary": false
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "MN",
            "license": "CPED3494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.