NPIMap

Organization Active NPI

Neal Family Dentistry,D.D.S.,P.C.

  • Dentist
  • Chillicothe, MO
National Provider Identifier
1215004601
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
013568 Issued in MO
Legal business name
NEAL FAMILY DENTISTRY,D.D.S.,P.C.
Practice address
901 Adam Dr
Chillicothe, MO 64601-3935
Phone
(660) 646-4352
Fax
(660) 646-6282
NPI assigned
Nov 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David M Neal, DMDNPI 1609943786
Title
President
Phone
(660) 646-4352

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 013568 MO Primary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 015513 MO

Addresses

Primary practice location

901 Adam Dr
Chillicothe, MO 64601-3935

Mailing address

PO Box 1050
Chillicothe, MO 64601-1050
Phone (660) 646-4352

National Provider Directory

National Provider Directory

Locations

901 Adam Dr
Chillicothe, MO 64601
Phone (660) 646-4352

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215004601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1050",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646011050",
            "telephone_number": "660-646-4352",
            "fax_number": "660-646-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ADAM DR",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646013935",
            "telephone_number": "660-646-4352",
            "fax_number": "660-646-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL FAMILY DENTISTRY,D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-646-4352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "013568",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "015513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chillicothe, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.