Thomas E McNeely DDS Ms Apc

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

2847 Issued in LA

Legal business name

THOMAS E MCNEELY DDS MS APC

Practice address

745 Olive St
Suite 204
Shreveport, LA 71104-2246

Phone

(318) 226-9306

Fax

(318) 221-0018

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Edward McNeely, DDS MSNPI 1992803373

Title

Owner President

Phone

(318) 226-9306

Specialties & licenses 1

Addresses

Other names 1

• Tom McNeely DDS MS Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Edward McNeely, DDS MD

  • Periodontics
  • Shreveport, LA
  • NPI 1992803373
  NPD (past) Authorized official

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821186123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 OLIVE ST",
            "address_2": "SUITE 204",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042246",
            "telephone_number": "318-226-9306",
            "fax_number": "318-221-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 OLIVE ST",
            "address_2": "SUITE 204",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711042246",
            "telephone_number": "318-226-9306",
            "fax_number": "318-221-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E MCNEELY DDS MS APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCNEELY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "318-226-9306",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "LA",
            "license": "2847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tom McNeely DDS MS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Samantha Thiemann, PT, DPT
• Third Future Schools - Louisiana
• Todd Gary Thoma, M.D.
• Thomas a Pressly III Apmc
• Thomas a Reilly MD Apmc
• Thomas E. Kinstrey a Medical Corporation
• Thomas J. Worgul, M.D., Apmc
• Thomas K Judd MD and Willis-Knighton Medical Center
• Thomas V Allen MD and Willis-Knighton Medical Center
• Valerie Thomas-White, LMSW

• Periodontics in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Periodontics in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.