Active NPI
Steven William Neeley Jr., DMD
- Dentist
- Beaver, PA
National Provider Identifier
1184295875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS043205
- Practice address
- 265 College Ave
Beaver, PA 15009-2744 - Phone
- (724) 774-1149
- NPI assigned
- Jul 5, 2021
- Last updated
- Jul 5, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS043205 | PA | Primary |
Addresses
Primary practice location
265 College Ave
Beaver, PA 15009-2744
Mailing address
1120 Virginia Ave
Midland, PA 15059-1716
Phone (724) 683-2428
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS043205 | PA | MD | Dentist |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625443200000",
"number": "1184295875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 VIRGINIA AVE",
"city": "MIDLAND",
"state": "PA",
"postal_code": "150591716",
"telephone_number": "724-683-2428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 COLLEGE AVE",
"city": "BEAVER",
"state": "PA",
"postal_code": "150092744",
"telephone_number": "724-774-1149"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELEY",
"first_name": "STEVEN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-05",
"last_updated": "2021-07-05",
"certification_date": "2021-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS043205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaver, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.