Active NPI
William J Oneill
Doing business as Carolina Foot Care Assoc PLLC
- Podiatrist
- Clemmons, NC
National Provider Identifier
1881643419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- WILLIAM J ONEILL
- Doing business as
- Carolina Foot Care Assoc PLLC
- Practice address
- 6341 Cook Ave
Suite a
Clemmons, NC 27012-9379 - Phone
- (336) 766-8400
- Fax
- (336) 766-8486
- NPI assigned
- May 10, 2006
- Last updated
- Sep 21, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Paula B Reavis
- Title
- Business MGR
- Phone
- (336) 766-8400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | Primary |
Addresses
Primary practice location
6341 Cook Ave
Suite a
Clemmons, NC 27012-9379
Mailing address
PO Box 268
Clemmons, NC 27012-0268
Phone (336) 766-8400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908042 | Medicaid | NC | |
| 08042 | Other | NC | BLUE CROSS OF NC |
Other names 1
- CAROLINA FOOT CARE ASSOC PLLC
National Provider Directory
National Provider DirectoryLocations
6341 Cook Ave
Ste A
Clemmons, NC 27012
Phone (336) 766-8400
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.
-
- Podiatrist
- Statesville, NC
- NPI 1619971017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442793600000",
"number": "1881643419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 268",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270120268",
"telephone_number": "336-766-8400",
"fax_number": "336-766-8486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6341 COOK AVE",
"address_2": "SUITE A",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270129379",
"telephone_number": "336-766-8400",
"fax_number": "336-766-8486"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM J ONEILL",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-10",
"last_updated": "2015-09-21",
"status": "A",
"authorized_official_last_name": "REAVIS",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "BUSINESS MGR",
"authorized_official_telephone_number": "336-766-8400",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908042",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF NC",
"identifier": "08042",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CAROLINA FOOT CARE ASSOC PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Clemmons, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.