Individual provider Active NPI

Alison Foster Neely, DMD

  • Dentist
  • Lebanon, TN
National Provider Identifier
1194108456
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10310 Issued in TN
Practice address
1715 W Main St
Lebanon, TN 37087-4994
Phone
(615) 784-4330
NPI assigned
Jul 6, 2015
Last updated
Oct 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10310 TN Primary
General Practice Dentistry 1223G0001X 10119 NC

Addresses

Primary practice location

1715 W Main St
Lebanon, TN 37087-4994

Mailing address

1715 W Main St
Lebanon, TN 37087-4994
Phone (615) 784-4330

Other practice location 1

602 1/2 S Columbia St
Apt C
Chapel Hill, NC 27514-4507
Phone (864) 590-1237

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

LicenseStateTypeSpecialty
10119NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1194108456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370874994",
            "telephone_number": "615-784-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370874994",
            "telephone_number": "615-784-4330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 1/2 S Columbia St",
            "address_2": "Apt C",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275144507",
            "country_code": "US",
            "telephone_number": "864-590-1237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEELY",
        "first_name": "ALISON",
        "middle_name": "FOSTER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-06",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10310",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.