Active NPI
Steven W Neely, D.M.D.
- Dentist
- Covington, KY
National Provider Identifier
1649373820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5907
- Practice address
- 801 Scott St
Covington, KY 41011-2419 - Phone
- (859) 431-8800
- NPI assigned
- Sep 6, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5907 | KY | Primary |
Addresses
Primary practice location
801 Scott St
Covington, KY 41011-2419
Mailing address
6853 Westin RDG
Cleves, OH 45002-9412
Phone (513) 574-0375
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60059078 | Medicaid | KY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5907 | KY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1649373820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6853 WESTIN RDG",
"city": "CLEVES",
"state": "OH",
"postal_code": "450029412",
"telephone_number": "513-574-0375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 SCOTT ST",
"city": "COVINGTON",
"state": "KY",
"postal_code": "410112419",
"telephone_number": "859-431-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEELY",
"first_name": "STEVEN",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "5907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60059078",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Covington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.