John F Neely DMD PA

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

7678 Issued in NC

Legal business name

JOHN F NEELY DMD PA

Practice address

93 Aviemore Dr
Pinehurst, NC 28374-9797

Phone

(910) 295-8088

Fax

(910) 295-8855

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Frank Neely, DMDNPI 1073594222

Title

President

Phone

(910) 295-8088

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 3

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

• John F Neely, DMD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Pinehurst, NC
  • NPI 1073594222

  NC, Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Robert Kirk Johnson, DSS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Pinehurst, NC
  • NPI 1467448092

  NC, Oral and Maxillofacial Surgery

  Medicare reassignment Care Compare group NPD
• Gary T Jones, DMD

  • Oral and Maxillofacial Pathology Dentistry
  • Fayetteville, NC
  • NPI 1861473019
  NPD (past)

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043243124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749797",
            "telephone_number": "910-295-8088",
            "fax_number": "910-295-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749797",
            "telephone_number": "910-295-8088",
            "fax_number": "910-295-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F NEELY DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-295-8088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NC",
            "license": "7678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR NEELY NPI INDIVIDUAL",
            "identifier": "1073594222",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GARY T JONES DMD NPI",
            "identifier": "1861473019",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sedrick Jennings
• Jason Matthew Jerry, M.D.
• Ryan Jett, LAT, ATC
• Katrya Fionna Jewell, BT
• Linda Jingle, MD
• Teresa Ann Johnes, CRNA
• Alicia Johnson, BT
• Andrea Johnson
• Christopher McLaurin Johnson, M.D.
• Danielle P Johnson

• All providers in Pinehurst, NC
• Oral and Maxillofacial Surgery (Dentist) in North Carolina

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.