John Minick Neely, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

151054 Issued in NC

Practice address

1030 W Main St
Lebanon, TN 37087-3345

Phone

(615) 444-3932

NPI assigned

Jul 6, 2015

Last updated

Jun 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 TN

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

State licenses

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.

• Serenity Dental

  • Dentist
  • Lebanon, TN
  • NPI 1538569496
  NPD (past)
• WRH Serenity Dental General Partnership

  • General Practice Dentistry
  • Lebanon, TN
  • NPI 1821819558
  NPD (past)

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

{
    "created_epoch": "1436140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1891178117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873345",
            "telephone_number": "615-444-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873345",
            "telephone_number": "615-444-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELY",
        "first_name": "JOHN",
        "middle_name": "MINICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-06",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "151054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Vision Inc (America's Best Contacts & Eyeglasses)
• Nautical Wheeler Inc. (Hearing Health Center)
• William M Nave, D.D.S.
• Rebekah Near, LCAT
• Alison Foster Neely, DMD
• Michelle Nicole Neff, N.P.
• Neuhaus Foot and Ankle, PC
• James Lofton Newman, DDS
• Kristen Durham Newman, LPC,MHSP
• Jeanna Newsham, RBT

• General Practice Dentistry in Lebanon, TN
• Providers in Lebanon, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.