Neizel Songalia Durant

Primary specialty

DentistTaxonomy code 122300000X

License

11662 Issued in NC

Practice address

2831 Midway Rd SE Ste 116
Bolivia, NC 28422-8377

Phone

(910) 408-4436

NPI assigned

Feb 24, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Riccobene & Associates I, DDS, P.a.

  • General Practice Dentistry
  • Bolivia, NC
  • NPI 1023616596
  NPD

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1124568100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BLACKGUM CT",
            "city": "MAULDIN",
            "state": "SC",
            "postal_code": "29662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 MIDWAY RD SE STE 116",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228377",
            "telephone_number": "910-408-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURANT",
        "first_name": "NEIZEL",
        "middle_name": "SONGALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "11662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adolfo Richard Desandre, M.D.
• Elizabeth Warren Desandre, NP
• Nancy Susan Desillier, RN
• David Joseph Dibble, D.O.
• Jonaysha Douglas
• Breanna Lynn Durbin, MD
• DW-N-ER, Inc.
• East Carolina University
• Selena Anne Ehlert, OTR/L
• Lani Ellis, P.A.-C

• All providers in Bolivia, NC
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.