Individual provider Active NPI

John Anthony Neves, DMD

  • Pediatric Dentistry
  • Casa Grande, AZ
National Provider Identifier
1952525990
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
D6124 Issued in AZ
Practice address
907 E Cottonwood LN Ste 1
Casa Grande, AZ 85222-2226
Phone
(520) 876-5431
Fax
(520) 876-4875
NPI assigned
Apr 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X D6124 AZ Primary

Addresses

Primary practice location

907 E Cottonwood LN Ste 1
Casa Grande, AZ 85222-2226

Mailing address

907 E Cottonwood LN Ste 1
Casa Grande, AZ 85222-2226
Phone (520) 876-5431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170831002562 CA Order and Referring Only - DentistPractitioner - Dentist 1153694807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D6124AZMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Malingkas DMD PLLC Pediatric Dentistry PastSince Sep 8, 2024 Accepting new patients
Kid-1 Pediatric Dentistry Pediatric Dentistry Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952525990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 E COTTONWOOD LN STE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852222226",
            "telephone_number": "520-876-5431",
            "fax_number": "520-876-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 E COTTONWOOD LN STE 1",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852222226",
            "telephone_number": "520-876-5431",
            "fax_number": "520-876-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVES",
        "first_name": "JOHN",
        "middle_name": "ANTHONY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D6124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

Verify at the official NPI Registry.