Active NPI
Alison Foster Neely, DMD
- Dentist
- Lebanon, TN
National Provider Identifier
1194108456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10310
- Practice address
- 1715 W Main St
Lebanon, TN 37087-4994 - Phone
- (615) 784-4330
- NPI assigned
- Jul 6, 2015
- Last updated
- Oct 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 10119 | NC | MD | General 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
- Cyrus Grant Nabavi, PA
- National Vision Inc (America's Best Contacts & Eyeglasses)
- Nautical Wheeler Inc. (Hearing Health Center)
- William M Nave, D.D.S.
- Rebekah Near, LCAT
- John Minick Neely, DMD
- Michelle Nicole Neff, N.P.
- Neuhaus Foot and Ankle, PC
- James Lofton Newman, DDS
- Kristen Durham Newman, LPC,MHSP
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.