Individual provider Active NPI

Neill Mears, D.D.S.

  • Dentist
  • Spokane, WA
National Provider Identifier
1740694603
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE60543473 Issued in WA
Practice address
1803 W Maxwell
Spokane, WA 99201
Phone
(509) 483-7535
Fax
(509) 482-2794
NPI assigned
Jun 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE60543473 WA Primary

Addresses

Primary practice location

1803 W Maxwell
Spokane, WA 99201

Mailing address

1803 W Maxwell Ave
Spokane, WA 99201-2831
Phone (509) 483-7535

Other identifiers 1

IdentifierTypeStateIssuer
1740694603MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211215002664 WA Practitioner - Dentist 6507166428 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE60543473WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Jan 2, 2022 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

105 W 8th Ave
Ste 123C
Spokane, WA 99204
Phone (509) 474-7496

105 W 8th Ave
Ste 122C
Spokane, WA 99204
Phone (509) 474-2894

Interoperability endpoints

  • Direct secure messaging: nmears2047312@wm.providencedirect.org
  • Direct secure messaging: nmears@nativeproject.directbygreenway.com

Organizations & group practices 2

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1740694603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 W MAXWELL AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012831",
            "telephone_number": "509-483-7535",
            "fax_number": "509-482-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 W MAXWELL",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99201",
            "telephone_number": "509-483-7535",
            "fax_number": "509-482-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEARS",
        "first_name": "NEILL",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE60543473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740694603",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.