Kimberly Jan McNeal, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

18855 Issued in TX

Practice address

126 W Bond Ave
West Memphis, AR 72301-3909

Phone

(870) 735-7805

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553472000000",
    "number": "1487875985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W BOND AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013909",
            "telephone_number": "870-735-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W BOND AVE",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013909",
            "telephone_number": "870-735-7805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4941 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Forrest City",
            "state": "AR",
            "postal_code": "723357723",
            "country_code": "US",
            "telephone_number": "870-633-3730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3710 E Main St Ste J",
            "address_purpose": "LOCATION",
            "city": "Blytheville",
            "state": "AR",
            "postal_code": "723156882",
            "country_code": "US",
            "telephone_number": "870-763-1223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEAL",
        "first_name": "KIMBERLY",
        "middle_name": "JAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2019-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "4246",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "18855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommy Lynn McGee, DDS
• Denzel McGregory
• Erin Kathryn McKewen
• Angela K. McKinness, APN
• Genesis Tiara McKinney
• Janet S McNeely
• Jasmine L McNeill
• Beunka Bra'Shawn McVay
• Medipharm Inc
• Mending Minds Counseling and Consultation, LLC

• Orthodontics and Dentofacial Orthopedics Dentistry in West Memphis, AR
• Providers in West Memphis, AR by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.