Individual provider Active NPI

Jennifer Ashley Neese, DDS

  • Dentist
  • Zionsville, IN
National Provider Identifier
1063824886
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12012134A Issued in IN
Practice address
1650 W Oak St
Suite 206
Zionsville, IN 46077-1962
Phone
(317) 873-8902
NPI assigned
May 28, 2014
Last updated
Oct 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12012134A IN Primary

Addresses

Primary practice location

1650 W Oak St
Suite 206
Zionsville, IN 46077-1962

Mailing address

1650 W Oak St
Suite 206
Zionsville, IN 46077-1962
Phone (317) 873-8902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170307001648 IN Order and Referring Only - DentistPractitioner - Dentist 7618251877

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12012134AINMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jenny Neese Family Dentistry Current Accepting new patients
Oyler Dentistry, LLC Past Accepting new patients

Locations

6426 Whitestown Pkwy
Whitestown, IN 46075
Phone (317) 732-1800

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1063824886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 W OAK ST",
            "address_2": "SUITE 206",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771962",
            "telephone_number": "317-873-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 W OAK ST",
            "address_2": "SUITE 206",
            "city": "ZIONSVILLE",
            "state": "IN",
            "postal_code": "460771962",
            "telephone_number": "317-873-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEESE",
        "first_name": "JENNIFER",
        "middle_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-28",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12012134A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zionsville, IN

Sources for this page

Verify at the official NPI Registry.