NPIMap

Organization Active NPI

K. E. Neill, Jr. DDS LTD

  • General Practice Dentistry
  • Yorktown, VA
National Provider Identifier
1013937929
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7270 Issued in VA
Legal business name
K. E. NEILL, JR. DDS LTD
Practice address
219 Cook Road
Yorktown, VA 23690
Phone
(757) 898-6832
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kennedy Neill III, DDS
Title
President
Phone
(757) 898-6832

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7270 VA Primary

Addresses

Primary practice location

219 Cook Road
Yorktown, VA 23690

Mailing address

PO Box 427
Yorktown, VA 23690-0427

Other names 1

  • Drs Neill and Neill Other name

National Provider Directory

National Provider Directory

Locations

219 Cook Rd
Yorktown, VA 23690
Phone (757) 898-6832

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013937929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236900427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 COOK ROAD",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "23690",
            "telephone_number": "757-898-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K. E. NEILL, JR. DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEILL",
        "authorized_official_first_name": "KENNEDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-898-6832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "7270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Neill and Neill",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Yorktown, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.