Active NPI
Katherine L McNeeley, DDS
- Dentist
- Elyria, OH
National Provider Identifier
1831627884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 25049
- Practice address
- 550 Abbe Rd N
Elyria, OH 44035-3709 - Phone
- (440) 365-0230
- Fax
- (440) 365-9557
- NPI assigned
- Jun 2, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 25049 | OH | Primary |
Addresses
Primary practice location
550 Abbe Rd N
Elyria, OH 44035-3709
Mailing address
550 Abbe Rd N
Elyria, OH 44035-3709
Phone (440) 365-0230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25049 | Other | OH | OHIO STATE DENTAL BOARD |
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 |
|---|---|---|---|
| 25049 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831627884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 ABBE RD N",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440353709",
"telephone_number": "440-365-0230",
"fax_number": "440-365-9557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 ABBE RD N",
"city": "ELYRIA",
"state": "OH",
"postal_code": "440353709",
"telephone_number": "440-365-0230",
"fax_number": "440-365-9557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEELEY",
"first_name": "KATHERINE",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "25049",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO STATE DENTAL BOARD",
"identifier": "25049",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elyria, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.