Individual provider Active NPI

Neil Thomas Duval, DMD

  • General Practice Dentistry
  • Rock Hill, SC
National Provider Identifier
1710659719
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9962 Issued in SC
Practice address
1417 Riverchase Blvd Ste 104
Rock Hill, SC 29732-2493
Phone
(803) 327-1500
NPI assigned
Sep 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9962 SC Primary

Addresses

Primary practice location

1417 Riverchase Blvd Ste 104
Rock Hill, SC 29732-2493

Mailing address

125 W Tremont Ave Unit 915
Charlotte, NC 28203-5565
Phone (817) 559-2521

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rockhill@friendlydentalgroup.com

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

LicenseStateTypeSpecialty
9962SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Abrams Patel Cohen and Associates Inc General Practice PastSince Oct 5, 2021 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1710659719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W TREMONT AVE UNIT 915",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035565",
            "telephone_number": "817-559-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 RIVERCHASE BLVD STE 104",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297322493",
            "telephone_number": "803-327-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVAL",
        "first_name": "NEIL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rockhill@friendlydentalgroup.com",
            "affiliation": "N",
            "address_1": "1417 Riverchase Blvd Ste 104",
            "city": "Rock Hill",
            "state": "SC",
            "country_code": "US",
            "postal_code": "297322493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.