Active NPI
Lee W. McNeish, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Waterbury, CT
National Provider Identifier
1225010036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 7227
- Practice address
- 650 Chase Pkwy
Waterbury, CT 06708-3040 - Phone
- (203) 596-7788
- Fax
- (203) 596-7194
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7227 | CT | Primary |
Addresses
Primary practice location
650 Chase Pkwy
Waterbury, CT 06708-3040
Mailing address
650 Chase Pkwy
Waterbury, CT 06708-3040
Phone (203) 596-7788
Other practice location 1
22 Westfield Ave
Ansonia, CT 06401-1158
Phone (203) 734-2626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2016 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7227 | CT | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee W. McNeish DMD, PC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery Clinic/Center
- Waterbury, CT
- NPI 1992129977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701820800000",
"number": "1225010036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 CHASE PKWY",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083040",
"telephone_number": "203-596-7788",
"fax_number": "203-596-7194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 CHASE PKWY",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083040",
"telephone_number": "203-596-7788",
"fax_number": "203-596-7194"
}
],
"practiceLocations": [
{
"address_1": "22 Westfield Ave",
"address_purpose": "LOCATION",
"city": "Ansonia",
"state": "CT",
"postal_code": "064011158",
"country_code": "US",
"telephone_number": "203-734-2626",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCNEISH",
"first_name": "LEE",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2023-12-06",
"certification_date": "2023-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CT",
"license": "7227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.