Active NPI
Katy Neil, DDS
- Dentist
- Delano, MN
National Provider Identifier
1902396674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D14012
- Practice address
- 405 Babcock Blvd E Ste 130
Delano, MN 55328-9144 - Phone
- (763) 276-1410
- Fax
- (763) 276-1411
- NPI assigned
- May 17, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | D14012 | MN | Primary |
Addresses
Primary practice location
405 Babcock Blvd E Ste 130
Delano, MN 55328-9144
Mailing address
405 Babcock Blvd E Ste 130
Delano, MN 55328-9144
Phone (763) 276-1410
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 |
|---|---|---|---|
| D14012 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crow River Dental | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1902396674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 BABCOCK BLVD E STE 130",
"city": "DELANO",
"state": "MN",
"postal_code": "553289144",
"telephone_number": "763-276-1410",
"fax_number": "763-276-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 BABCOCK BLVD E STE 130",
"city": "DELANO",
"state": "MN",
"postal_code": "553289144",
"telephone_number": "763-276-1410",
"fax_number": "763-276-1411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIL",
"first_name": "KATY",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-17",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "MN",
"license": "D14012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delano, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.