Active NPI
Daniel Neel, MD
- Family Medicine Physician
- Lakeside, AZ
National Provider Identifier
1073584645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 7081
- Practice address
- 5658 W Highway 260
Suite 19
Lakeside, AZ 85929-5189 - Phone
- (928) 532-5838
- Fax
- (928) 532-6670
- NPI assigned
- Jan 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7081 | AZ | Primary |
Addresses
Primary practice location
5658 W Highway 260
Suite 19
Lakeside, AZ 85929-5189
Mailing address
5658 W Highway 260
Suite 19
Lakeside, AZ 85929-5189
Phone (928) 532-5838
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 285438 | Medicaid | AZ | |
| AZ0325980 | Other | AZ | BLUE CROSS BLUE SHIELD AZ |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7081 | AZ | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| White Mountain Family Practice Associates LTD | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Lakeside, AZ
- NPI 1467580894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193011200000",
"number": "1073584645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5658 W HIGHWAY 260",
"address_2": "SUITE 19",
"city": "LAKESIDE",
"state": "AZ",
"postal_code": "859295189",
"telephone_number": "928-532-5838",
"fax_number": "928-532-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5658 W HIGHWAY 260",
"address_2": "SUITE 19",
"city": "LAKESIDE",
"state": "AZ",
"postal_code": "859295189",
"telephone_number": "928-532-5838",
"fax_number": "928-532-6670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEEL",
"first_name": "DANIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2007-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "7081",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "285438",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD AZ",
"identifier": "AZ0325980",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakeside, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.