Individual provider Active NPI

Denise Eileen Neumann, D.D.S

  • Dentist
  • Pella, IA
National Provider Identifier
1982776829
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
08149 Issued in IA
Practice address
839 Broadway St
Pella, IA 50219-1521
Phone
(641) 628-1121
Fax
(641) 620-1035
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 08149 IA Primary

Addresses

Primary practice location

839 Broadway St
Pella, IA 50219-1521

Mailing address

839 Broadway St
Pella, IA 50219-1521
Phone (641) 628-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20150128001471 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6103140843

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08149IAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey F. Allen, D.D.S., P.C. 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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404864000000",
    "number": "1982776829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 BROADWAY ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191521",
            "telephone_number": "641-628-1121",
            "fax_number": "641-620-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 BROADWAY ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191521",
            "telephone_number": "641-628-1121",
            "fax_number": "641-620-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUMANN",
        "first_name": "DENISE",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2014-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pella, IA

Sources for this page

Verify at the official NPI Registry.