Michael Neish, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D10441 Issued in OR

Practice address

1683 W Harvard Ave
Roseburg, OR 97471-2812

Phone

(541) 673-3552

NPI assigned

Jul 18, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Concierge Dental

  • General Practice Dentistry
  • Oro Valley, AZ
  • NPI 1619569415
  NPD Authorized official
• Michael J Neish DMD PLLC

  • General Practice Dentistry
  • Gig Harbor, WA
  • NPI 1184460784
  NPD Authorized official
• Coppermine Dental Studio at Madera Canyon PLLC

  • Dentist
  • Green Valley, AZ
  • NPI 1811479074
  NPD (past)
• Coppermine Madera Canyon LLC

  • General Practice Dentistry
  • Green Valley, AZ
  • NPI 1679326938
  NPD (past)

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573603200000",
    "number": "1326455684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 VALLEY VIEW DR",
            "city": "GLADSTONE",
            "state": "OR",
            "postal_code": "970271126",
            "telephone_number": "307-871-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1683 W HARVARD AVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974712812",
            "telephone_number": "541-673-3552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7117 E Broadway Blvd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857101404",
            "country_code": "US",
            "telephone_number": "520-319-1390",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEISH",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-18",
        "last_updated": "2019-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D009012",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D10441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brent Delbert Neeley, RPH
• Erick Neely
• Carrie Neet
• Wendy Neglay
• Randall Blake Neidhart, CADC
• Julia Irene Neptune
• Bryan D Nestripke, PSY.D.
• New Visions Eyecare PC
• Joyce Ann Newton, O.D.
• Lanchi Thai Nguyen

• Dentist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; 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.