Individual provider Active NPI

Lee W. McNeish, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Waterbury, CT
National Provider Identifier
1225010036
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
7227 Issued in CT
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

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
7227CTMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Lee W. McNeish DMD, PC PastSince Dec 23, 2013 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.

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

Verify at the official NPI Registry.