Active NPI
Scott David Neal, DDS
- General Practice Dentistry
- Atlanta, GA
National Provider Identifier
1871619338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN011214
- Practice address
- 1610 Lavista Rd NE
Ste 2
Atlanta, GA 30329-4316 - Phone
- (404) 471-1595
- Fax
- (404) 471-1597
- NPI assigned
- Mar 22, 2007
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN011214 | GA | Primary |
Addresses
Primary practice location
1610 Lavista Rd NE
Ste 2
Atlanta, GA 30329-4316
Mailing address
622 Seminole Ave NE
Atlanta, GA 30307
Phone (404) 583-9411
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 |
|---|---|---|---|
| DN011214 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871619338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 SEMINOLE AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30307",
"telephone_number": "404-583-9411",
"fax_number": "404-471-1597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 LAVISTA RD NE",
"address_2": "STE 2",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303294316",
"telephone_number": "404-471-1595",
"fax_number": "404-471-1597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEAL",
"first_name": "SCOTT",
"middle_name": "DAVID",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN011214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.