Stephanie A Neely, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2009013231 Issued in MO

Practice address

805 N 36TH St
Ste. a
Saint Joseph, MO 64506-2979

Phone

(816) 232-3011

Fax

(816) 671-0205

NPI assigned

Aug 11, 2009

Last updated

Aug 11, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Plus Smiles LLC

  • Dentist
  • Saint Joseph, MO
  • NPI 1730852039
  NPD Authorized official
• Dr. Lisa a Goin, DDS, PC

  • General Practice Dentistry
  • Saint Joseph, MO
  • NPI 1710119672
  NPD (past)

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249948800000",
    "number": "1427280395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 N 36TH ST",
            "address_2": "STE. A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062979",
            "telephone_number": "816-232-3011",
            "fax_number": "816-671-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N 36TH ST",
            "address_2": "STE. A",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062979",
            "telephone_number": "816-232-3011",
            "fax_number": "816-671-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2009013231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sepehre Naficy, M.D.
• National Hearing Centers (Amplifon Hearing Aid Centers)
• National Seating & Mobility Inc
• Kellee Nicole Neal, DO
• Kensey Neely
• Fnu Neha, MD
• Nellestein Vein Institute LLC
• Michael E. Nellestein, M.D.
• Arthur Scott Nelson, D.D.S.
• Pamela Shattuck Nelson, AU.D.

• General Practice Dentistry in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.