Steven Pierce Neville, D.M.D.
Individual provider
Active NPI
Dentist · Horse Cave, KY
NPI 1710041538 · NPPES record last updated May 8, 2008
Key facts
- NPI
- 1710041538
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 4965 (KY)
- Practice address
- 311 S Dixie St
Horse Cave, KY 42749-1230
- Phone
- (270) 786-2547
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20150519002432 |
KY |
Order and Referring Only - Dentist
Practitioner - Dentist |
1557681392 |
|
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| 4965 | KY | MD | Chiropractor |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Dentist |
122300000X |
4965 |
KY |
Yes |
Addresses
Primary practice location
311 S Dixie St
Horse Cave, KY 42749-1230
Mailing address
311 S Dixie St
P.O. Box 324
Horse Cave, KY 42749-1230
Phone (270) 786-2547
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 60049657 | Medicaid | KY | |