John McNeill DDS PC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

1123 Issued in NM

Legal business name

JOHN MCNEILL DDS PC

Practice address

2401 E 30TH St
BLDG 2
Farmington, NM 87401-8986

Phone

(505) 326-2611

Fax

(505) 326-5152

NPI assigned

Sep 19, 2005

Last updated

Nov 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John A McNeill, DDS

Title

Pres

Phone

(505) 326-2611

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John J McNeill, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Farmington, NM
  • NPI 1134396567
  NPD (past)

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1710972567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E 30TH ST",
            "address_2": "BLDG 2",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018986",
            "telephone_number": "505-326-2611",
            "fax_number": "505-326-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E 30TH ST",
            "address_2": "BLDG 2",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874018986",
            "telephone_number": "505-326-2611",
            "fax_number": "505-326-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MCNEILL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "MCNEILL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "505-326-2611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NM",
            "license": "1123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlene Jim, PSR
• Ryan R Jim
• Victoria Jim
• Paula Jimson
• Lindsay Jobe, M.D.
• Corine John-Dodge, LSAA
• Evelina R. John, CSW
• Haidin John
• Melorito John
• Sharnelle John

• Oral and Maxillofacial Surgery (Dentist) in Farmington, NM
• Providers in Farmington, NM by specialty
• Oral and Maxillofacial Surgery (Dentist) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.