Individual provider Active NPI

Armida L. Neaves, D.D.S.

  • General Practice Dentistry
  • Watauga, TX
National Provider Identifier
1336465657
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15864 Issued in TX
Practice address
6465 Alta Vista Dr
Watauga, TX 76148-1410
Phone
(817) 915-5706
NPI assigned
Apr 12, 2010
Last updated
Apr 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15864 TX Primary

Addresses

Primary practice location

6465 Alta Vista Dr
Watauga, TX 76148-1410

Mailing address

6465 Alta Vista Dr
Watauga, TX 76148-1410
Phone (817) 915-5706

Other names 1

  • Dr. Armida L Neaves Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
15864TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1336465657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 ALTA VISTA DR",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761481410",
            "telephone_number": "817-915-5706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 ALTA VISTA DR",
            "city": "WATAUGA",
            "state": "TX",
            "postal_code": "761481410",
            "telephone_number": "817-915-5706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAVES",
        "first_name": "ARMIDA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARMIDA",
            "last_name": "NEAVES",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Watauga, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.