Anne L Neary DDS LLC

Primary specialty

DentistTaxonomy code 122300000X

License

5090 015 Issued in WI

Legal business name

ANNE L NEARY DDS LLC

Practice address

8989 N Port Washington Rd
Suite 236
Bayside, WI 53217

Phone

(414) 351-5008

Fax

(414) 351-6834

NPI assigned

Jun 17, 2008

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anne L Neary, DDSNPI 1295098838

Title

Dentist/Owner

Phone

(414) 351-5008

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Anne L. Neary, D.D.S.

  • General Practice Dentistry
  • Bayside, WI
  • NPI 1295098838
  NPD (past) Authorized official

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1619138252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8989 N PORT WASHINGTON ROAD",
            "address_2": "SUITE 236",
            "city": "BAYSIDE",
            "state": "WI",
            "postal_code": "53217",
            "telephone_number": "414-351-5008",
            "fax_number": "414-351-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8989 N PORT WASHINGTON RD",
            "address_2": "SUITE 236",
            "city": "BAYSIDE",
            "state": "WI",
            "postal_code": "53217",
            "telephone_number": "414-351-5008",
            "fax_number": "414-351-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE L NEARY DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "NEARY",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "414-351-5008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5090 015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Bayside, WI
• Providers in Bayside, WI by specialty
• Dentist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.