Individual provider Active NPI

Alyssa Christine Neelley, DMD

  • Dentist
  • Bellingham, WA
National Provider Identifier
1578149373
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE61468845 Issued in WA
Practice address
1310 Broadway Ste 1a
Bellingham, WA 98225-2953
Phone
(360) 738-9791
NPI assigned
Mar 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE61468845 WA Primary

Addresses

Primary practice location

1310 Broadway Ste 1a
Bellingham, WA 98225-2953

Mailing address

22 Bramhall St
Portland, ME 04102-3134

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
DE61468845WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Alyssa Neelley DMD PLLC CurrentSince Jun 15, 2025 Accepting new patients
Olivia Collier DMD, PLLC CurrentSince Jun 15, 2025 Accepting new patients

Locations

1310 Broadway
Ste 1A
Bellingham, WA 98225
Phone (360) 738-9791

Organizations & group practices 2

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": "1616371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1578149373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 BROADWAY STE 1A",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982252953",
            "telephone_number": "360-738-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELLEY",
        "first_name": "ALYSSA",
        "middle_name": "CHRISTINE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-22",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE61468845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.