Individual provider Active NPI

Ada S. Neil, DMD

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1790918159
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
#24973 Issued in TX
Practice address
615 North Loop E Ste 101
Houston, TX 77022-5934
Phone
(832) 581-3540
Fax
(346) 355-8882
NPI assigned
Sep 1, 2009
Last updated
Mar 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24973 TX
General Practice Dentistry 1223G0001X 24973 TX
General Practice Dentistry 1223G0001X #24973 TX Primary
Dental Hygienist 124Q00000X 11571 TX

Addresses

Primary practice location

615 North Loop E Ste 101
Houston, TX 77022-5934

Mailing address

3091 College Park Dr.
Suite # 310
The Woodlands, TX 77384
Phone (936) 321-2995

Other practice location 1

3091 College Park Dr.
Suite # 310
The Woodlands, TX 77384
Phone (936) 321-2995

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
11571TXMDAddiction (Substance Use Disorder) Counselor
24973TXMDDentist
#24973TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1790918159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3091 COLLEGE PARK DR.",
            "address_2": "SUITE # 310",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77384",
            "telephone_number": "936-321-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 NORTH LOOP E STE 101",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770225934",
            "telephone_number": "832-581-3540",
            "fax_number": "346-355-8882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3091 College Park Dr.",
            "address_2": "Suite # 310",
            "address_purpose": "LOCATION",
            "city": "The Woodlands",
            "state": "TX",
            "postal_code": "77384",
            "country_code": "US",
            "telephone_number": "936-321-2995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEIL",
        "first_name": "ADA",
        "middle_name": "S.",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "24973",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24973",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "#24973",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "11571",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; 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.