Active NPI
William Mark Neal III, DDS
- Dentist
- Buckhannon, WV
National Provider Identifier
1689853632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- WV2611
- Practice address
- Professioal Arts Plaza Suite a
Professional SRTS Plaza Suite a
Buckhannon, WV 26201-7386 - Phone
- (304) 472-1776
- Fax
- (304) 473-1060
- NPI assigned
- Oct 26, 2007
- Sex
- Male
- Sole proprietor
- No
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 | WV2611 | WV | Primary |
Addresses
Primary practice location
Professioal Arts Plaza Suite a
Professional SRTS Plaza Suite a
Buckhannon, WV 26201-7386
Mailing address
PO Box 2386
Professional SRTS Plaza Suite a
Buckhannon, WV 26201
Phone (304) 472-1776
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 |
|---|---|---|---|
| WV2611 | WV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1689853632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2386",
"address_2": "PROFESSIONAL SRTS PLAZA SUITE A",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "26201",
"telephone_number": "304-472-1776",
"fax_number": "304-473-1060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PROFESSIOAL ARTS PLAZA SUITE A",
"address_2": "PROFESSIONAL SRTS PLAZA SUITE A",
"city": "BUCKHANNON",
"state": "WV",
"postal_code": "262017386",
"telephone_number": "304-472-1776",
"fax_number": "304-473-1060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "WILLIAM",
"middle_name": "MARK",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-26",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "WV2611",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buckhannon, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.