DR. KEALEY NEUVILLE (NPI# 1396304796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396304796 |
| Entity Type | Individual |
| Full Name | DR. KEALEY NEUVILLE |
| Credential | DDS |
| Practice Address |
828 Hawthorne Ave E Saint Paul MN 55106-3252 |
| Practice Telephone | 7182406552 |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D14458 | MN | Dental Providers |
| Street Address |
828 HAWTHORNE AVE E |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55106-3252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063071595 | Tamzid Bin Mafiz | Dentist | 828 Hawthorne Ave E, Saint Paul, MN 55106-3252 | 2019-06-09 |
| 1063906568 | Lauren Gerkowicz | Dentist | 828 Hawthorne Ave E, Saint Paul, MN 55106-3252 | 2018-06-18 |
| 1447631106 | Kyley M Lebens | Dentist | 828 Hawthorne Ave E, Saint Paul, MN 55106-3252 | 2015-06-17 |
| 1063775393 | Luke Matthew Sharpe | Dentist | 828 Hawthorne Ave E, Saint Paul, MN 55106-3252 | 2012-06-21 |
| 1194082040 | Aroone Vang | Dentist | 828 Hawthorne Ave E, Saint Paul, MN 55106-3252 | 2012-04-17 |
| 1962795856 | Christie Jo Berkseth-rojas | Dentist | 828 Hawthorne Ave E, Saint Paul, MN 55106 | 2011-05-25 |
| 1740573666 | Zohreh Daghighian | Dental Hygienist | 828 Hawthorne Ave E, Saint Paul, MN 55106-3252 | 2011-05-25 |
| 1487818647 | Tammy Pham | Dentist | 828 Hawthorne Ave E, Saint Paul, MN 55106 | 2008-07-16 |
| 1467566505 | Meredith Kathyrn Kurysh | Dentist | 828 Hawthorne Ave E, Saint Paul, MN 55106-3252 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692403 | Shoua Yang | Pharmacist | 1180 Arcade St., St. Paul, MN 55106 | 2020-09-01 |
| 1477196715 | The Doctors Medical Clinic, P.a. | Family Medicine | 1504 Whitebear Ave, St Paul, MN 55106 | 2019-10-18 |
| 1144870544 | Lucy Anne Claugherty | Technician | 975 Cook Ave E., St. Paul, MN 55106 | 2019-09-17 |
| 1326602756 | Leslie Neher | Student in an Organized Health Care Education/Training Program | 1414 Maryland Avenue East, St. Paul, MN 55106 | 2019-05-01 |
| 1841758851 | Susan Janine Ferrell | Dental Hygienist | East Side Dental, 895 East 7th Street, St Paul, MN 55106 | 2019-03-08 |
| 1811465271 | Care Plus Hha Inc | Home Health | 1299 Arcade Street, Ste 100, St. Paul, MN 55106 | 2018-11-05 |
| 1033696760 | Strong Tower Health | Clinical Nurse Specialist | 1686 Suburban Ave, St Paul, MN 55106 | 2018-07-25 |
| 1861978439 | William Warmka | Physical Therapist | 1385 Phalen Blvd, St. Paul, MN 55106 | 2018-07-17 |
| 1902392111 | Chaffee Dialysis LLC | Clinic/Center | 862 Arcade St, Saint Paul, MN 55106 | 2018-07-11 |
| 1922594217 | Vangneng Xiong | Marriage & Family Therapist | 1299 Arcade St Ste 202, Saint Paul, MN 55106 | 2018-07-10 |
| Find all providers in zip 55106 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780236976 | Kyndra Kae Weber | Dentist | 405 Sibley St Ste 240, Saint Paul, MN 55101-2976 | 2019-07-09 |
| 1376101253 | Sammy Louis Gueringer II | Dentist | 1651 Dale St N, Saint Paul, MN 55117-3414 | 2019-06-05 |
| 1659881944 | Dentists of Highland Park, PC | Dentist | 2096 Ford Pkwy, Saint Paul, MN 55116-1813 | 2017-10-02 |
| 1245750397 | Ryan Daniel Howley | Dentist | 2221 Ford Pkwy Ste 201, Saint Paul, MN 55116-3857 | 2017-06-20 |
| 1134652746 | Shana Bell | Dentist | 1871 Old Hudson Rd Ste 1, Saint Paul, MN 55119-4392 | 2017-04-10 |
| 1316395965 | Lisa Eileen Mcgann | Dentist | 757 Cleveland Ave S Ste 2, Saint Paul, MN 55116-1301 | 2016-05-24 |
| 1851771984 | Kola Xiong | Dentist | 555 Wabasha St N Ste 250, Saint Paul, MN 55102-1673 | 2015-06-03 |
| 1982097325 | Norah Hoverson | Dentist | 670 Cleveland Ave S Ste 100, Saint Paul, MN 55116 | 2015-03-10 |
| 1871994095 | Anita Xiong | Dentist | 947 County Road D E, Apt 103, Saint Paul, MN 55109-5290 | 2014-09-08 |
| 1336554906 | Ejike Bartholomew Ezeja | Dentist | 1609 Norman Rd Ste B, Aspen Dental, Saint Paul, GA 31601-4201 | 2014-06-23 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.