Active NPI
John Anthony Neves, DMD
- Pediatric Dentistry
- Casa Grande, AZ
National Provider Identifier
1952525990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D6124
- 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, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170831002562 | CA | Order and Referring Only - Dentist | 1153694807 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D6124 | AZ | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Malingkas DMD PLLC | Pediatric Dentistry | Past | 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.
-
- Pediatric Dentistry
- Casa Grande, AZ
- NPI 1568689776
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
- Deepak Nayyar, M.D.
- Nazcare, Inc (NAZCARE - Casa Grande Wellness Center)
- Nazcare, Inc. - Casa Grande Wellness Center
- Victoria Lifuka Ndambasha, FNP
- Carla Mae Neill
- New Horizon Youth Homes, Inc (New Horizon Community Care)
- Aaron Timothy Newton, PA-C
- Nextcare Arizona LLC (NextCare Urgent Care)
- Nextcare Arizona LLC (NextCare Urgent Care)
- Ryan Nguyen, OD
Sources for this page
- 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.