NPIMap

Organization Active NPI

Deer Creek Dental

  • Dentist
  • Casper, WY
National Provider Identifier
1548518566
Registry record updated Aug 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
840 Issued in WY
Legal business name
DEER CREEK DENTAL
Practice address
514 S Durbin St
Casper, WY 82601-3150
Phone
(307) 235-5344
Fax
(307) 473-8588
NPI assigned
Aug 23, 2012
Last updated
Aug 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2012

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

Authorized official

Name
Dr. Harold K Neubert, DDSNPI 1225178965
Title
Owner/Dentist
Phone
(307) 235-5344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 840 WY Primary

Addresses

Primary practice location

514 S Durbin St
Casper, WY 82601-3150

Mailing address

514 S Durbin St
Casper, WY 82601-3150
Phone (307) 235-5344

National Provider Directory

National Provider Directory

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": "1345680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345680000000",
    "number": "1548518566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S DURBIN ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013150",
            "telephone_number": "307-235-5344",
            "fax_number": "307-473-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S DURBIN ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013150",
            "telephone_number": "307-235-5344",
            "fax_number": "307-473-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEER CREEK DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-23",
        "last_updated": "2012-08-23",
        "status": "A",
        "authorized_official_last_name": "NEUBERT",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "307-235-5344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WY",
            "license": "840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casper, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2012; 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.