Macneill Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MACNEILL FAMILY DENTAL PLLC

Practice address

1575 Ontario St
Sandpoint, ID 83864-1786

Phone

(208) 263-4353

NPI assigned

Oct 23, 2015

Organization subpart

No

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

Authorized official

Name

Joni Macneill, DDSNPI 1619141579

Title

Owner Dentist

Phone

(208) 263-4353

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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

• Joni Macneill, DDS

  • Dentist
  • Sandpoint, ID
  • NPI 1619141579
  NPD (past) Authorized official
• Robert H Harrison, DDS

  • General Practice Dentistry
  • Sandpoint, ID
  • NPI 1023176310
  NPD (past)

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

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445558400000",
    "number": "1881066306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 ONTARIO ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641786",
            "telephone_number": "208-263-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 ONTARIO ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641786",
            "telephone_number": "208-263-4353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACNEILL FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A",
        "authorized_official_last_name": "MACNEILL",
        "authorized_official_first_name": "JONI",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "208-263-4353",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth R Loyd, MS, LCPC
• Autumn Lukezech
• Luther Park at Sandpoint, LLC
• Lynch Anesthesia PLLC
• Elizabeth Lynn
• Joni Macneill, DDS
• Shelby Madsen
• Katherine Magee, MD
• Charles W Maile, MD
• Majeski Counseling

• General Practice Dentistry in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.