Organization Active NPI

Neal and Associates PC

  • Dental Clinic/Center
  • Crystal Lake, IL
National Provider Identifier
1871702985
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1915895 Issued in IL
Legal business name
NEAL AND ASSOCIATES PC
Practice address
280 Memorial CT Ste B
Crystal Lake, IL 60014-6233
Phone
(815) 459-2202
Fax
(815) 459-2787
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Phillip C Neal, DDSNPI 1053482471
Title
President
Phone
(815) 459-9389

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1915895 IL Primary

Addresses

Primary practice location

280 Memorial CT Ste B
Crystal Lake, IL 60014-6233

Mailing address

122 Dole Ave
Crystal Lake, IL 60014-5840
Phone (815) 459-9389

Other names 1

  • Crystal Lake Dental Associates Doing business as

National Provider Directory

National Provider Directory

Locations

280 Memorial Ct
Ste B
Crystal Lake, IL 60014
Phone (815) 459-2202

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871702985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 DOLE AVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600145840",
            "telephone_number": "815-459-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MEMORIAL CT STE B",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600146233",
            "telephone_number": "815-459-2202",
            "fax_number": "815-459-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-459-9389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IL",
            "license": "1915895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Lake Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

  • 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.