Oracle Prime,LLC

Primary specialty

PodiatristTaxonomy code 213E00000X

License

07000624A Issued in IN

Legal business name

ORACLE PRIME,LLC

Practice address

201 E Market St
Suite 2
Jeffersonville, IN 47130-3362

Phone

(812) 280-0160

Fax

(812) 280-0160

NPI assigned

Jan 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dennis R Williams, D.P.M.

Title

Manager

Phone

(812) 280-0160

Specialties & licenses 1

Addresses

Other names 1

• Conservative Care Clinic Doing business as

Locations

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1801071402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E MARKET ST",
            "address_2": "SUITE 2",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303362",
            "telephone_number": "812-280-0160",
            "fax_number": "812-280-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E MARKET ST",
            "address_2": "SUITE 2",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303362",
            "telephone_number": "812-280-0160",
            "fax_number": "812-280-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORACLE PRIME,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "812-280-0160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07000624A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conservative Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Podiatrist in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Podiatrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.