Organization Active NPI

William M. Steely

  • Podiatrist
  • Dyersburg, TN
National Provider Identifier
1679628127
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM0000000571 Issued in TN
Legal business name
WILLIAM M. STEELY
Practice address
575 Mall Blvd
Suite L2
Dyersburg, TN 38024-1661
Phone
(731) 285-3338
Fax
(731) 286-6331
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
William M Steely, DPM
Title
Owner Doctor
Phone
(731) 285-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X DPM0000000571 TN Primary

Addresses

Primary practice location

575 Mall Blvd
Suite L2
Dyersburg, TN 38024-1661

Mailing address

575 Mall Blvd
Suite L2
Dyersburg, TN 38024-1661
Phone (731) 285-3338

Other identifiers 1

IdentifierTypeStateIssuer
3727102MedicaidTN

Other names 1

  • STEELY FOOT CLINIC, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

575 Mall Blvd
Ste L2
Dyersburg, TN 38024
Phone (731) 285-3338

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1679628127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 MALL BLVD",
            "address_2": "SUITE L2",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241661",
            "telephone_number": "731-285-3338",
            "fax_number": "731-286-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 MALL BLVD",
            "address_2": "SUITE L2",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241661",
            "telephone_number": "731-285-3338",
            "fax_number": "731-286-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM M. STEELY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "STEELY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "731-285-3338",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "TN",
            "license": "DPM0000000571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3727102",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STEELY FOOT CLINIC, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.