Active NPI
Craig E Neal, MD DDS
- Oral and Maxillofacial Surgery (Dentist)
- Kirkland, WA
National Provider Identifier
1083781538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DE00007289
- Practice address
- 13131 120TH Ave NE
#A
Kirkland, WA 98034 - Phone
- (425) 825-7575
- Fax
- (425) 825-5615
- NPI assigned
- Nov 29, 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DE00007289 | WA | Primary |
Addresses
Primary practice location
13131 120TH Ave NE
#A
Kirkland, WA 98034
Mailing address
13131 120TH Ave NE
#A
Kirkland, WA 98034
Phone (425) 825-7575
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 24, 2016 through Oct 24, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neal Oral & Maxillofacial Surgery | Past | Accepting new patients | |
| Neal Oral & Maxillofacial Surgery | Past | Accepting new patients | |
| Neal Oral and Maxillofacial Surgery | Oral and Maxillofacial Surgery | Past | Accepting new patients |
| Neal Oral and Maxillofacial Surgery | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Dentist
- Kirkland, WA
- NPI 1518076223
-
- Oral and Maxillofacial Pathology Dentistry
- Seattle, WA
- NPI 1720154404
-
- Oral and Maxillofacial Surgery (Dentist)
- Kirkland, WA
- NPI 1487593745
-
- Oral and Maxillofacial Surgery (Dentist)
- Seattle, WA
- NPI 1629917984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083781538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13131 120TH AVE NE",
"address_2": "#A",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98034",
"telephone_number": "425-825-7575",
"fax_number": "425-825-5615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13131 120TH AVE NE",
"address_2": "#A",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98034",
"telephone_number": "425-825-7575",
"fax_number": "425-825-5615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "CRAIG",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "WA",
"license": "DE00007289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.