Individual provider Active NPI

Alexander James McNeeley, DMD

  • Dentist
  • Broomfield, CO
National Provider Identifier
1457845679
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00203606 Issued in CO
Practice address
3305 W 144TH Ave Unit 100
Broomfield, CO 80023-9483
Phone
(303) 460-8700
NPI assigned
Jun 20, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DEN.00203606 CO Primary

Addresses

Primary practice location

3305 W 144TH Ave Unit 100
Broomfield, CO 80023-9483

Mailing address

5504 W 118TH PL
Westminster, CO 80020-5908
Phone (517) 281-6745

Other practice location 1

306 Center Dr
Superior, CO 80027-8625
Phone (303) 449-9555

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
DEN.00203606COMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlands Family Dentistry General Partnership Dentist CurrentSince Jan 12, 2025 Accepting new patients

Locations

3305 W 144th Ave
Unit 100
Broomfield, CO 80023
Phone (303) 460-8700

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": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1457845679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5504 W 118TH PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800205908",
            "telephone_number": "517-281-6745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 W 144TH AVE UNIT 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800239483",
            "telephone_number": "303-460-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Center Dr",
            "address_purpose": "LOCATION",
            "city": "Superior",
            "state": "CO",
            "postal_code": "800278625",
            "country_code": "US",
            "telephone_number": "303-449-9555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEELEY",
        "first_name": "ALEXANDER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-20",
        "last_updated": "2024-05-16",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00203606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.