Active NPI
Courtney McNeill
- Public Health Dentistry
- Cameron, NC
National Provider Identifier
1700753829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health Dentistry
- License
- 261QD0000X
- Practice address
- 112 Lothian LN
Cameron, NC 28326-4204 - Phone
- (719) 354-5570
- NPI assigned
- Oct 22, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 261QD0000X | NC | Primary |
Addresses
Primary practice location
112 Lothian LN
Cameron, NC 28326-4204
Mailing address
112 Lothian LN
Cameron, NC 28326-4204
Phone (719) 354-5570
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 |
|---|---|---|---|
| 261QD0000X | NC | MD | Public Health Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1700753829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 LOTHIAN LN",
"city": "CAMERON",
"state": "NC",
"postal_code": "283264204",
"telephone_number": "719-354-5570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 LOTHIAN LN",
"city": "CAMERON",
"state": "NC",
"postal_code": "283264204",
"telephone_number": "719-354-5570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEILL",
"first_name": "COURTNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-22",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223D0001X",
"taxonomy_group": "",
"desc": "Dentist, Dental Public Health",
"state": "NC",
"license": "261QD0000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cameron, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.