Individual provider Active NPI

Stephen Michael Neuser, D.D.S.

  • General Practice Dentistry
  • Langley Afb, VA
National Provider Identifier
1457330086
Registry record updated Jan 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
946 Issued in AK
Practice address
45 Pine Road
1St Medical Group
Langley Afb, VA 23665-2080
Phone
(757) 764-7611
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2011

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 946 AK Primary

Addresses

Primary practice location

45 Pine Road
1St Medical Group
Langley Afb, VA 23665-2080

Mailing address

205 Echo Ridge CT
Newport News, VA 23603-1379
Phone (757) 369-5268

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
946AKMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294099200000",
    "number": "1457330086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ECHO RIDGE CT",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236031379",
            "telephone_number": "757-369-5268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 PINE ROAD",
            "address_2": "1ST MEDICAL GROUP",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236652080",
            "telephone_number": "757-764-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUSER",
        "first_name": "STEPHEN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2011-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AK",
            "license": "946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langley Afb, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2011; 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.