Charles Keith Neaville Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2802 Issued in AR

Practice address

1901 E Beebe Capps Expy
Searcy, AR 72143-6973

Phone

(501) 268-3332

Fax

(501) 268-1420

NPI assigned

Aug 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Charles Keith Neaville Jr

  • Dentist
  • Searcy, AR
  • NPI 1366646663
  NPD (past)
• GPS Neaville Family Dentistry PLLC

  • Dental Clinic/Center
  • Searcy, AR
  • NPI 1770205882
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235146382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E BEEBE CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436973",
            "telephone_number": "501-268-3332",
            "fax_number": "501-268-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 E BEEBE CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436973",
            "telephone_number": "501-268-3332",
            "fax_number": "501-268-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAVILLE",
        "first_name": "CHARLES",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zainab Naqvi, MD
• Navigate Counseling and Wellness
• Sadaf Azada Nawabi, PHARMD
• Nea Hospice, LLC (Summit Hospice Providers)
• Pamela Ann Neal
• Andrea E Nelson, MR ARRT
• William Henry Nevins, M.D.
• New Leaf Recovery Alliance of Arkansas
• New Leaf Wellness Center
• Newhope Specialized Industries, Inc.

• General Practice Dentistry in Searcy, AR
• Providers in Searcy, AR by specialty
• General Practice Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.