Eddy Joe Newberry II, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7951 Issued in KY

Practice address

400 S. Broadway
Glasgow, KY 42141

Phone

(270) 651-2979

NPI assigned

May 14, 2007

Last updated

May 11, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Xtreme Prosthetics, LLC.

  dba SRT Prosthetics & Orthotics

  • Prosthetic/Orthotic Supplier
  • Louisville, KY
  • NPI 1063179497
  NPD (past)

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1003021957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 FOX TRL",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421417873",
            "telephone_number": "270-678-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S. BROADWAY",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "42141",
            "telephone_number": "270-651-2979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBERRY",
        "first_name": "EDDY",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "7951",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "7951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Seating & Mobility, Inc.
• Patricia Ann Neal, PHARM D
• Vivekanand S Neginhal, M.D.
• Linsey Simpson Neuhaus, M.D.
• New Glasgow Health & Rehabilitation Center, LLC (Glasgow Health & Rehabilitation Center)
• Gina Newberry
• NHC Healthcare-Glasgow LLC (NHC HealthCare, Glasgow)
• Ashley Ann Norris, DO
• Northside Pediatrics PSC
• Janet M O'Brien, RN., PSC

• General Practice Dentistry in Glasgow, KY
• Providers in Glasgow, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.

Verify at the official NPI Registry.