Individual provider Active NPI

John Michael Neeb, DDS

  • Dentist
  • Greenfield, IN
National Provider Identifier
1235283458
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
12009581 Issued in IN
Practice address
1467 Jason Rd
Greenfield, IN 46140-1039
Phone
(317) 462-7696
Fax
(317) 462-3006
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 12009581 IN Primary

Addresses

Primary practice location

1467 Jason Rd
Greenfield, IN 46140-1039

Mailing address

920 N State St
Greenfield, IN 46140-1202
Phone (317) 462-7696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20160715001059 IN Order and Referring Only - DentistPractitioner - Dentist 6507158219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12009581INMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Greenfield Community Dental Care 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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1235283458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 N STATE ST",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401202",
            "telephone_number": "317-462-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 JASON RD",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461401039",
            "telephone_number": "317-462-7696",
            "fax_number": "317-462-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEB",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12009581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.