Active NPI
Janet R. Neel, D.D.S.
- Dentist
- Fountain, CO
National Provider Identifier
1366567752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8170
- Practice address
- 6436 Hwy 85/87 Suite C
Fountain, CO 80817 - Phone
- (719) 392-5111
- Fax
- (719) 392-4143
- NPI assigned
- Mar 21, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 8170 | CO | Primary |
Addresses
Primary practice location
6436 Hwy 85/87 Suite C
Fountain, CO 80817
Mailing address
350 Ellsworth St
Colorado Springs, CO 80906-7905
Phone (719) 579-9656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98605712 | Medicaid | CO |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8170 | CO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188259200000",
"number": "1366567752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 ELLSWORTH ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809067905",
"telephone_number": "719-579-9656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6436 HWY 85/87 SUITE C",
"city": "FOUNTAIN",
"state": "CO",
"postal_code": "80817",
"telephone_number": "719-392-5111",
"fax_number": "719-392-4143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEEL",
"first_name": "JANET",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-21",
"last_updated": "2007-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "8170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "98605712",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fountain, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.