Individual provider Active NPI

David Glenn O'Neal, DDS

  • General Practice Dentistry
  • Oxon Hill, MD
National Provider Identifier
1922009158
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10844 Issued in MD
Practice address
6188 Oxon Hill Rd
2ND Floor
Oxon Hill, MD 20745-3113
Phone
(301) 567-3122
Fax
(301) 567-5234
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 10844 MD Primary

Addresses

Primary practice location

6188 Oxon Hill Rd
2ND Floor
Oxon Hill, MD 20745-3113

Mailing address

6188 Oxon Hill Rd Ste 200
Oxon Hill, MD 20745-3157
Phone (301) 567-3122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20160407001195 MD Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 0840598876

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. O'Neal, Bishara & Associates, LLC General Practice CurrentSince Jul 24, 2022 Accepting new patients
Dr. David G. O'Neal and Associates General Practice Past Accepting new patients

Locations

6188 Oxon Hill Rd
Ste 200
Oxon Hill, MD 20745
Phone (301) 567-3122

Organizations & group practices 2

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1922009158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD STE 200",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453157",
            "telephone_number": "301-567-3122",
            "fax_number": "301-567-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6188 OXON HILL RD",
            "address_2": "2ND FLOOR",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453113",
            "telephone_number": "301-567-3122",
            "fax_number": "301-567-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "DAVID",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "10844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

Sources for this page

Verify at the official NPI Registry.