Organization Active NPI

Steve R. Neill DDS PA

  • Dental Clinic/Center
  • Paola, KS
National Provider Identifier
1174769285
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
5148 Issued in KS
Legal business name
STEVE R. NEILL DDS PA
Practice address
302 N Hospital Dr
Paola, KS 66071-1304
Phone
(913) 294-2402
Fax
(913) 294-4067
NPI assigned
Dec 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Authorized official

Name
Dr. Steve Ralph Neill, DDS
Title
Owner
Phone
(913) 294-2402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 5148 KS Primary

Addresses

Primary practice location

302 N Hospital Dr
Paola, KS 66071-1304

Mailing address

302 N Hospital Dr
Paola, KS 66071-1304
Phone (913) 294-2402

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229558400000",
    "number": "1174769285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N HOSPITAL DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711304",
            "telephone_number": "913-294-2402",
            "fax_number": "913-294-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N HOSPITAL DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711304",
            "telephone_number": "913-294-2402",
            "fax_number": "913-294-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE R. NEILL DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2008-12-18",
        "status": "A",
        "authorized_official_last_name": "NEILL",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-294-2402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "KS",
            "license": "5148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paola, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2008; 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.