NPIMap

Organization Active NPI

Neeley Dental LLC

Doing business as Neeley Dental

  • Dental Clinic/Center
  • Beaver, PA
National Provider Identifier
1538832340
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NEELEY DENTAL LLC
Doing business as
Neeley Dental
Practice address
265 College Ave Ste 1
Beaver, PA 15009-2744
Phone
(724) 774-1149
Fax
(724) 774-9466
NPI assigned
Jul 28, 2021
Last updated
Jul 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Dr. Steven William Neeley Jr., DMDNPI 1184295875
Title
Owner
Phone
(724) 774-1149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

265 College Ave Ste 1
Beaver, PA 15009-2744

Mailing address

265 College Ave Ste 1
Beaver, PA 15009-2744
Phone (724) 774-1149

Other names 1

  • Neeley Dental Doing business as

National Provider Directory

National Provider Directory

Locations

265 College Ave
Ste 1
Beaver, PA 15009
Phone (724) 774-1149

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1538832340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 COLLEGE AVE STE 1",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092744",
            "telephone_number": "724-774-1149",
            "fax_number": "724-774-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 COLLEGE AVE STE 1",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092744",
            "telephone_number": "724-774-1149",
            "fax_number": "724-774-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEELEY DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "NEELEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-774-1149",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neeley Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaver, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.