Joni Macneill, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D-4710 Issued in ID

Practice address

1575 Ontario St
Sandpoint, ID 83864-1786

Phone

(208) 263-4353

Fax

(208) 265-7223

NPI assigned

Apr 22, 2008

Last updated

Apr 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Joni Lythgoe Former name

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Macneill Family Dental PLLC

  • General Practice Dentistry
  • Sandpoint, ID
  • NPI 1881066306
  NPD (past) Authorized official

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1619141579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 ONTARIO ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641786",
            "telephone_number": "208-263-4353",
            "fax_number": "208-265-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 ONTARIO ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641786",
            "telephone_number": "208-263-4353",
            "fax_number": "208-265-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACNEILL",
        "first_name": "JONI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JONI",
            "last_name": "LYTHGOE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Autumn Lukezech
• Luther Park at Sandpoint, LLC
• Lynch Anesthesia PLLC
• Elizabeth Lynn
• Macneill Family Dental PLLC
• Shelby Madsen
• Katherine Magee, MD
• Charles W Maile, MD
• Majeski Counseling
• Susan Majeski, LCSW

• Dentist in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.