Newsome Family Dentistry

Primary specialty

DentistTaxonomy code 122300000X

License

3642 Issued in SC

Legal business name

NEWSOME FAMILY DENTISTRY

Practice address

2120 N. Beltline Blvd
Ste a
Columbia, SC 29204-3905

Phone

(803) 782-6966

Fax

(803) 782-6966

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jarrett Russell Newsome, DDSNPI 1780739730

Title

Owner/Dentist

Phone

(803) 782-6966

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jarrett R Newsome, DMD

  • General Practice Dentistry
  • Columbia, SC
  • NPI 1780739730
  NPD (past) Authorized official

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1063551901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SAINT JULIAN PL",
            "address_2": "SUITE 202",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042418",
            "telephone_number": "803-254-2465",
            "fax_number": "803-254-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N. BELTLINE BLVD",
            "address_2": "STE A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292043905",
            "telephone_number": "803-782-6966",
            "fax_number": "803-782-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWSOME FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "NEWSOME",
        "authorized_official_first_name": "JARRETT",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "803-782-6966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "SC",
            "license": "3642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3642",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rudolph Mitchell Newman Jr., MD
• Zoe Newman
• Elizabeth Bailey Newsom, APRN
• Kathryn Corinne Newsom, PT, DPT
• Kent J Newsom, D.O.
• Brandi R Newsome, MD
• Jarrett R Newsome, DMD
• Susan Blain Newsome, APRN
• Jennifer M Newton, FNP-C
• Next Step Up Corp

• Dentist in Columbia, SC
• Providers in Columbia, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.