Active NPI
Jeffrey Anderson Neal, DDS
- Dentist
- Henrico, VA
National Provider Identifier
1821010166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0401008775
- Practice address
- 2215 Pump Rd
Henrico, VA 23233-3507 - Phone
- (804) 447-1435
- Fax
- (804) 447-3932
- NPI assigned
- Jul 24, 2006
- Last updated
- Feb 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0401008775 | VA | Primary |
Addresses
Primary practice location
2215 Pump Rd
Henrico, VA 23233-3507
Mailing address
2215 Pump Rd
Henrico, VA 23233-3507
Phone (804) 447-1435
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0401008775 | VA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey a Neal DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1821010166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 PUMP RD",
"city": "HENRICO",
"state": "VA",
"postal_code": "232333507",
"telephone_number": "804-447-1435",
"fax_number": "804-447-3932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 PUMP RD",
"city": "HENRICO",
"state": "VA",
"postal_code": "232333507",
"telephone_number": "804-447-1435",
"fax_number": "804-447-3932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "JEFFREY",
"middle_name": "ANDERSON",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401008775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Henrico, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.