NPIMap

Individual provider Active NPI

William Rooney, C.PED

  • Pedorthist
  • Lombard, IL
National Provider Identifier
1962979534
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PedorthistTaxonomy code 224L00000X
Practice address
121 E Roosevelt Rd Ste B
Lombard, IL 60148-4561
Phone
(630) 209-0716
Fax
(630) 261-9319
NPI assigned
Oct 31, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pedorthist 224L00000X Primary

Addresses

Primary practice location

121 E Roosevelt Rd Ste B
Lombard, IL 60148-4561

Mailing address

121 E Roosevelt Rd Ste B
Lombard, IL 60148-4561
Phone (630) 209-0716

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Prosthetic - Orthotic Past Accepting new patients
Dupage Prosthetic-Orthotic Services Past 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": "1540944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1962979534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 E ROOSEVELT RD STE B",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484561",
            "telephone_number": "630-209-0716",
            "fax_number": "630-261-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 E ROOSEVELT RD STE B",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484561",
            "telephone_number": "630-209-0716",
            "fax_number": "630-261-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROONEY",
        "first_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "C.PED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-31",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2018; 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.