Individual provider Active NPI

Kelsey Neal, DMD

  • General Practice Dentistry
  • Cincinnati, OH
National Provider Identifier
1861009110
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.026321 Issued in OH
Practice address
1401 Steffen Ave
Cincinnati, OH 45215-2338
Phone
(513) 483-3088
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.026321 OH Primary

Addresses

Primary practice location

1401 Steffen Ave
Cincinnati, OH 45215-2338

Mailing address

2205 Acorn CT
Lexington, KY 40516-9645

Other practice location 1

1411 Compton Rd
Cincinnati, OH 45231-3559
Phone (513) 728-2130

Other names 1

  • Ms. Kelsey Williams Former name

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
30.026321OHMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: kelsey.neal.p7@direct.healthcareconnection.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1861009110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 ACORN CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405169645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 STEFFEN AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452152338",
            "telephone_number": "513-483-3088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 Compton Rd",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452313559",
            "country_code": "US",
            "telephone_number": "513-728-2130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAL",
        "first_name": "KELSEY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.026321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "WILLIAMS",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.