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JARED BURGOYNE NEELEY
NPI 1780202796
Student in an Organized Health Care Education/Training Program in Dallas, TX

Active since July 07, 2020PECOS Enrolled
5323 HARRY HINES BLVD DALLAS TX 75390, DALLAS, TX 75390(214) 648-3606 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jared Burgoyne Neeley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JARED BURGOYNE NEELEY (NPI 1780202796) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780202796
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJARED BURGOYNE NEELEY
Location Address5323 HARRY HINES BLVD DALLAS TX 75390Dallas, TX 75390-0001
Mailing Address2152 Steeplewood DrGrapevine, TX 76051-7839 · (817) 528-5790
Phone(214) 648-3606
Sole ProprietorNo
Enumeration DateJuly 7, 2020
NPPES CertifiedJuly 7, 2020
✔ NPI 1780202796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
5323 HARRY HINES BLVD DALLAS TX 75390, Dallas, TX 75390
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jared Burgoyne Neeley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHANDLER J MITCHELL I MD
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD DALLAS TX 75390
DALLAS, TX 75390
Dallas County (214) 648-3111
TASHA VAZQUEZ
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD DALLAS TX 75390
DALLAS, TX 75390
Dallas County (775) 250-8239
KISMAT ABRAHAM TOUHID MD
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD DALLAS TX 75390
DALLAS, TX 75390
Dallas County (214) 648-3433
SPENCER FRANKLIN SUMNER
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD DALLAS TX 75390
DALLAS, TX 75390
Dallas County (214) 648-3111
RUCHIKA MAHAPATRA
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD DALLAS TX 75390
DALLAS, TX 75390
Dallas County (214) 648-3111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Neeley's NPI number?

The NPI number for Jared Neeley is 1780202796. It was assigned to this individual provider in the NPPES registry on July 7, 2020.

Where is Jared Neeley located?

Jared Neeley practices at 5323 Harry Hines Blvd Dallas Tx 75390, Dallas, TX 75390. The listed phone number is (214) 648-3606.

What is Jared Neeley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jared Neeley enrolled in Medicare?

Yes. Jared Neeley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jared Neeley was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.