NPIMap

Organization Active NPI

Matthew a Neely DDS LLC

Doing business as Neely Dental Team

  • General Practice Dentistry
  • Vandalia, OH
National Provider Identifier
1770831166
Registry record updated Aug 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-022832 Issued in OH
Legal business name
MATTHEW A NEELY DDS LLC
Doing business as
Neely Dental Team
Practice address
39 Dellsing Dr
Vandalia, OH 45377-1319
Phone
(937) 898-8798
Fax
(937) 898-1915
NPI assigned
Aug 16, 2012
Last updated
Aug 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2012

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

Authorized official

Name
Dr. Matthew A Neely, DDSNPI 1851555247
Title
Owner
Phone
(937) 898-8798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30-022832 OH Primary

Addresses

Primary practice location

39 Dellsing Dr
Vandalia, OH 45377-1319

Mailing address

39 Dellsing Dr
Vandalia, OH 45377-1319
Phone (937) 898-8798

Other names 1

  • Neely Dental Team Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1770831166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 DELLSING DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771319",
            "telephone_number": "937-898-8798",
            "fax_number": "937-898-1915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 DELLSING DR",
            "city": "VANDALIA",
            "state": "OH",
            "postal_code": "453771319",
            "telephone_number": "937-898-8798",
            "fax_number": "937-898-1915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW A NEELY DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-898-8798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neely Dental Team",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vandalia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.