Active NPI
Sharon N Neeley, DMD
- General Practice Dentistry
- Inez, KY
National Provider Identifier
1609932128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6680
- Practice address
- RT. 3 North
Martin County Medical Complex
Inez, KY 41224-0310 - Phone
- (606) 298-7758
- Fax
- (606) 298-7759
- NPI assigned
- Dec 29, 2006
- Last updated
- Dec 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 6680 | KY | |
| General Practice Dentistry | 1223G0001X | 6680 | KY | Primary |
Addresses
Primary practice location
RT. 3 North
Martin County Medical Complex
Inez, KY 41224-0310
Mailing address
PO Box 310
Inez, KY 41224-0310
Phone (606) 298-7758
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45602802 | Other | KY | EPSDT |
| 60066800 | Medicaid | KY |
Other names 1
- Dr. Sharon N Neeley
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6680 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197849600000",
"number": "1609932128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 310",
"city": "INEZ",
"state": "KY",
"postal_code": "412240310",
"telephone_number": "606-298-7758",
"fax_number": "606-298-7759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "RT. 3 NORTH",
"address_2": "MARTIN COUNTY MEDICAL COMPLEX",
"city": "INEZ",
"state": "KY",
"postal_code": "412240310",
"telephone_number": "606-298-7758",
"fax_number": "606-298-7759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELEY",
"first_name": "SHARON",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2007-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "6680",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "6680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EPSDT",
"identifier": "45602802",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60066800",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHARON",
"last_name": "NEELEY",
"middle_name": "N",
"prefix": "DR.",
"credential": "DMD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Inez, KY
- Bethany Mills, PSYCHOLOGIST
- Johnny Mills
- Mountain Comprehensive Care Center, Inc. (Homeplace Clinic Inez)
- Mountain Comprehensive Care Center, Inc. (Homeplace Behavioral Health - Inez)
- Logan Murphy, NRP
- Net Care Inc (Net Care Ambulance Service)
- Loretta Kay Nichols, APRN, NP-C
- Lauren Niece, OTR/L
- Ohio Valley Physicians Inc (OVP Health)
- Ohio Valley Physicians Inc (OVP Health)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.