NPIMap

Organization Active NPI

O'Neill Clinic, P.a.

  • Health Service Clinic/Center
  • Coeur d'Alene, ID
National Provider Identifier
1699932509
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
CHIA469 Issued in ID
Legal business name
O'NEILL CLINIC, P.A.
Practice address
1617 Lincoln Way
Coeur D Alene, ID 83814-2422
Phone
(208) 664-5000
Fax
(208) 667-8098
NPI assigned
May 19, 2008
Last updated
Sep 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Dr. Thomas Daniel O'Neill, D.C.NPI 1750357497
Title
President
Phone
(208) 664-5000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X CHIA469 ID Primary

Addresses

Primary practice location

1617 Lincoln Way
Coeur D Alene, ID 83814-2422

Mailing address

1617 Lincoln Way
Coeur D Alene, ID 83814-2422
Phone (208) 664-5000

Other identifiers 2

IdentifierTypeStateIssuer
31546OtherIDREGENCE BLUE SHIELD
C4694OtherIDBLUE CROSS

National Provider Directory

National Provider Directory

Locations

1617 Lincoln Way
Coeur D Alene, ID 83814
Phone (208) 664-5000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1699932509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1617 LINCOLN WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142422",
            "telephone_number": "208-664-5000",
            "fax_number": "208-667-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 LINCOLN WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142422",
            "telephone_number": "208-664-5000",
            "fax_number": "208-667-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "O'NEILL CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "O'NEILL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-664-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "ID",
            "license": "CHIA469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "31546",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "C4694",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.