Individual provider Active NPI

Neil Stephen Oconnor, DPM

  • Podiatrist
  • Lenoir, NC
National Provider Identifier
1922019959
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
253 Issued in NC
Practice address
230 Morganton Blvd SW Ste E
Lenoir, NC 28645-5243
Phone
(828) 754-8886
Fax
(828) 758-4640
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 253 NC Primary
Podiatrist 213E00000X 153 SC

Addresses

Primary practice location

230 Morganton Blvd SW Ste E
Lenoir, NC 28645-5243

Mailing address

230 Morganton Blvd SW Ste E
Lenoir, NC 28645-5243
Phone (828) 754-8886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, AR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070912000092 SC Practitioner - Podiatry 0446343149
I20191113000447 AR Practitioner - Podiatry 0446343149 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
253NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Neil S Oconnor DPM Podiatrist PastSince Feb 26, 1996 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1922019959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MORGANTON BLVD SW STE E",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455243",
            "telephone_number": "828-754-8886",
            "fax_number": "828-758-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MORGANTON BLVD SW STE E",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455243",
            "telephone_number": "828-754-8886",
            "fax_number": "828-758-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCONNOR",
        "first_name": "NEIL",
        "middle_name": "STEPHEN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "253",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "SC",
            "license": "153",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.