Michael Mauro Neglia, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.032363 Issued in IL

Practice address

645 Plaza Dr
Sycamore, IL 60178-2719

Phone

(815) 895-2298

NPI assigned

Jun 14, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sycamore Family Dentistry, LTD.

  • Dentist
  • Sycamore, IL
  • NPI 1104011808
  NPD (past)
• Blackburn WC DMD

  • Dentist
  • Los Alamitos, CA
  • NPI 1982490397

  General Practice

  NPD (past)
• Richard Blackburn DMD, Inc

  dba Volterra Dental

  • Dentist
  • Los Alamitos, CA
  • NPI 1457023921

  General Practice

  NPD (past)

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1811336647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 PLAZA DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601782719",
            "telephone_number": "815-895-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 PLAZA DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601782719",
            "telephone_number": "815-895-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGLIA",
        "first_name": "MICHAEL",
        "middle_name": "MAURO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1001277",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62440",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.032363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan K Mueller, APRN, CNP
• Heidi Maria Muntjanoff, LCSW
• Linda Ann Myers, APN
• National Youth Advocate Program, Inc
• National Youth Advocate Program, Inc
• Lindsay Beth Nelson, M.A.
• Neuro Monitoring Services LLC
• New Beginnings Obstetrics and Gynecology SC
• Paul H Nguyen, M.D.
• Anita Nelson Niehues, M.S.,OTR

• General Practice Dentistry in Sycamore, IL
• Providers in Sycamore, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.