Jason Lee Newman, D.C.
Individual provider Active NPI Chiropractor · Randleman, NC
NPI 1023066545 · NPPES record last updated Nov 2, 2011
Key facts
- NPI
- 1023066545
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3840 (NC)
- Practice address
- 648 W Academy St
Randleman, NC 27317-9748 - Phone
- (336) 498-5441
- Fax
- (336) 498-5444
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080529000411 | NC | Practitioner - Chiropractic | 7719057033 | Practice locations: Randleman, NC |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHIR007985 | GA | MD | Chiropractor |
| 3840 | NC | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHIR007985 | GA | |
| Chiropractor | 111N00000X | 3840 | NC | Yes |
Addresses
Primary practice location
648 W Academy St
Randleman, NC 27317-9748
Mailing address
648 W Academy St
Randleman, NC 27317-9748
Phone (336) 498-5441
Other providers in Randleman, NC
- Kathryn Needham Lopienski
- Kelly Jo Lucas
- Debra Lynn Lund
- Rajan Mitchell
- National Vision, Inc.
- North Carolina CVS Pharmacy LLC
- North Point Partners LLC
- Philip T Olshinski
- Onsite Eyecare OD PA
- Amanda Beth Pearce
All providers in Randleman, NC · Chiropractor in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.