Joseph C McNiel, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

6889-15 Issued in WI

Practice address

250 N Green Bay Rd
Neenah, WI 54956-2285

Phone

(920) 725-7840

Fax

(920) 725-5355

NPI assigned

May 7, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430870400000",
    "number": "1124387535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N GREEN BAY RD",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562285",
            "telephone_number": "920-725-7840",
            "fax_number": "920-725-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 N GREEN BAY RD",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549562285",
            "telephone_number": "920-725-7840",
            "fax_number": "920-725-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNIEL",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-07",
        "last_updated": "2015-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "6889-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James J McGovern, MD
• Susan M McIlraith, RD
• Thomas McInnis, APNP
• Seth L McIntire, DO
• Joseph Nelson McLaughlin, MD, PHD
• Kathryn Marie McNiel, LMFT
• Mark David McNiel, D.D.S.
• James Frederick McRae, D.C.
• Medical Transport Services, LLC
• Halie Rae Meidenbauer, OTR/L

• Dentist in Neenah, WI
• Providers in Neenah, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.