Kennedy Edward Neill III, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7270 Issued in VA

Practice address

219 Cook Road
Yorktown, VA 23690

Phone

(757) 898-6832

NPI assigned

Dec 21, 2007

Last updated

Dec 21, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• K. E. Neill, Jr. DDS LTD

  • General Practice Dentistry
  • Yorktown, VA
  • NPI 1013937929
  NPD (past)

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1871777185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236900427",
            "telephone_number": "757-898-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 COOK ROAD",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "23690",
            "telephone_number": "757-898-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEILL",
        "first_name": "KENNEDY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "7270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill M Nardin, LPC, NCC
• Raj Narla, R.PH
• Pedro Otilio Nazario, M.D
• Leah Renee Neale
• Kennedy Edward Neill Jr., D.D.S.
• Spencer Nelson, HOSPITAL CORPSMAN
• Kara Michelle Nesser, COTA/L
• Chelsea Newbrough, RDN
• Kara Ann Newton, M.A.-SLP
• Zac Nicholson

• General Practice Dentistry in Yorktown, VA
• Providers in Yorktown, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.