Active NPI
Gary W. McNeely, D.D.S.
- General Practice Dentistry
- Lenox, IA
National Provider Identifier
1689809667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 08601
- Practice address
- 108 1/2 N. Main St.
Lenox, IA 50851-0126 - Phone
- (641) 536-2121
- Fax
- (641) 536-2121
- NPI assigned
- May 20, 2009
- Last updated
- May 20, 2009
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 08601 | IA | Primary |
Addresses
Primary practice location
108 1/2 N. Main St.
Lenox, IA 50851-0126
Mailing address
PO Box 126
Lenox, IA 50851-0126
Phone (641) 536-2121
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 |
|---|---|---|---|
| 08601 | IA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242777600000",
"number": "1689809667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 126",
"city": "LENOX",
"state": "IA",
"postal_code": "508510126",
"telephone_number": "641-536-2121",
"fax_number": "641-536-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 1/2 N. MAIN ST.",
"city": "LENOX",
"state": "IA",
"postal_code": "508510126",
"telephone_number": "641-536-2121",
"fax_number": "641-536-2121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEELY",
"first_name": "GARY",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-20",
"last_updated": "2009-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "08601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lenox, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.