Active NPI
Joe Dean O'Neal, D.D.S.
- General Practice Dentistry
- Memphis, TN
National Provider Identifier
1336286137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3438
- Practice address
- 1331 Union Ave Ste 1225
Memphis, TN 38104-7551 - Phone
- (901) 276-7314
- Fax
- (901) 276-6028
- NPI assigned
- Jan 31, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3438 | TN | Primary |
Addresses
Primary practice location
1331 Union Ave Ste 1225
Memphis, TN 38104-7551
Mailing address
1331 Union Ave Ste 1225
Memphis, TN 38104-7551
Phone (901) 276-7314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336286137 | Other | TN | TENNCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160927000660 | TN | Order and Referring Only - Other (Non-Physician) | 9335436872 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3438 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337299200000",
"number": "1336286137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1331 UNION AVE STE 1225",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381047551",
"telephone_number": "901-276-7314",
"fax_number": "901-276-6028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 UNION AVE STE 1225",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381047551",
"telephone_number": "901-276-7314",
"fax_number": "901-276-6028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'NEAL",
"first_name": "JOE",
"middle_name": "DEAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2012-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "3438",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNCARE",
"identifier": "1336286137",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
- Joseph Allen Wayne O'Hara, MD
- Nicole Sanford O'Malley, MD
- Othman O'Malley, DPT
- Patrick W O'Mara, MD
- Charity Cheree O'Neal, PT
- Lindsey O'Neal, R.EPT
- Maneshia O'Neal, REGISTERED NURSE
- James O'Toole, MD
- O(Pen Mind). U(Nique). R(Estore). Counseling Services (Our Counseling
- Oak Street Health Physicians Group of Tennessee, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; 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.