Active NPI
Christopher Mark Neelley, D.D.S.
- General Practice Dentistry
- Cypress, TX
National Provider Identifier
1396738241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11921
- Practice address
- 11803 Grant Rd
Suite 202
Cypress, TX 77429-4032 - Phone
- (281) 374-9255
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | 11921 | TX | Primary |
Addresses
Primary practice location
11803 Grant Rd
Suite 202
Cypress, TX 77429-4032
Mailing address
11803 Grant Rd
Suite 202
Cypress, TX 77429-4032
Phone (281) 374-9255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11921 | Other | TX | TX DENTAL LICENSE NUMBER |
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 |
|---|---|---|---|
| 11921 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huma Hamid, PC | General Practice | 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": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396738241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11803 GRANT RD",
"address_2": "SUITE 202",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774294032",
"telephone_number": "281-374-9255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11803 GRANT RD",
"address_2": "SUITE 202",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774294032",
"telephone_number": "281-374-9255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELLEY",
"first_name": "CHRISTOPHER",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "11921",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX DENTAL LICENSE NUMBER",
"identifier": "11921",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cypress, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.