Steven Martin O'Neal, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

21709 Issued in TX

Practice address

4290 Kinsey Dr
Suite 3
Tyler, TX 75703-1024

Phone

(903) 561-0533

Fax

(903) 561-0630

NPI assigned

Sep 26, 2006

Last updated

Jul 8, 2007By 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 TX

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.

• Oneal Family Dentistry PLLC

  dba O'Neal Dentistry

  • General Practice Dentistry
  • Tyler, TX
  • NPI 1992508006
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942301247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 KINSEY DR",
            "address_2": "SUITE 3",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031024",
            "telephone_number": "903-561-0533",
            "fax_number": "903-561-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 KINSEY DR",
            "address_2": "SUITE 3",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031024",
            "telephone_number": "903-561-0533",
            "fax_number": "903-561-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "STEVEN",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "21709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassidi O'Gorman, LPC-ASSOCIATE
• Laura E O'Halloran, MD
• Andrew O'Kelley, D.O.
• Mollie O'Leary
• Dawn Elise O'Neal, PA-C
• O2 Connection LLC (O2 Connection)
• Railey Breanne Oates, COTA
• Bella S Obach, PT
• Nichelle Obbin
• Jamie Obeso

• General Practice Dentistry in Tyler, TX
• Providers in Tyler, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.