Chad Brigg Neibaur, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1337 Issued in AK

Practice address

102 10TH Ave
Fairbanks, AK 99701-5003

Phone

(907) 456-6111

Fax

(907) 451-6122

NPI assigned

Jun 24, 2010

Sex

Male

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

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Neibaur Dental, Inc.

  • Dentist
  • Fairbanks, AK
  • NPI 1427390103
  NPD (past) Authorized official
• Nisma Therapy Services LLC

  • Speech-Language Pathologist
  • Fairbanks, AK
  • NPI 1316678097
  NPD (past)

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1467763375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 10TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015003",
            "telephone_number": "907-456-6111",
            "fax_number": "907-451-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 10TH AVE",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997015003",
            "telephone_number": "907-456-6111",
            "fax_number": "907-451-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIBAUR",
        "first_name": "CHAD",
        "middle_name": "BRIGG",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleanor Ned-Sunnyboy
• Vicki Jean Needels, LDO
• Amy Neel, RN
• Ann Neglaska
• Neibaur Dental, Inc.
• Thomas Neill
• Daniel Patrick Nelson, PHARM D.
• Danielle Denise Nelson, M.S.
• Franklyn Lloyd Nelson, PH.D.
• Jade Nelson

• Dentist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Dentist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.