Individual provider Active NPI

Zachary Michael Richard Oneal, CPED.

  • Pedorthist
  • San Tan Valley, AZ
National Provider Identifier
1760947568
Registry record updated Apr 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
License
CPED3454 Issued in AZ
Practice address
4426 W Pelotazo Way
San Tan Valley, AZ 85142-1380
Phone
(480) 389-7862
NPI assigned
Feb 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pedorthist 224L00000X CPED3454 AZ Primary

Addresses

Primary practice location

4426 W Pelotazo Way
San Tan Valley, AZ 85142-1380

Mailing address

4426 W Pelotazo Way
San Tan Valley, AZ 85142-1380
Phone (480) 389-7862

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
CPED3454AZMDPedorthist

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1760947568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4426 W PELOTAZO WAY",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851421380",
            "telephone_number": "480-389-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4426 W PELOTAZO WAY",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851421380",
            "telephone_number": "480-389-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEAL",
        "first_name": "ZACHARY",
        "middle_name": "MICHAEL RICHARD",
        "credential": "CPED.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-05",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "AZ",
            "license": "CPED3454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.