Austin Mitchell Newsome, LD

Primary specialty

DenturistTaxonomy code 122400000X

License

DT-DO-10224514 Issued in OR

Practice address

215 Curtis Ave
Coos Bay, OR 97420-1619

Phone

(541) 604-6053

NPI assigned

May 24, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Smile Store, LLC

  • Denturist
  • Seaside, OR
  • NPI 1629578539
  NPD (past)

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659571200000",
    "number": "1093372039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 CURTIS AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201619",
            "telephone_number": "541-604-6053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 CURTIS AVE",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974201619",
            "telephone_number": "541-604-6053"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1242 State Ave Ste G",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982703672",
            "country_code": "US",
            "telephone_number": "833-900-1050",
            "fax_number": "833-200-5256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1251 Auburn Way N",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "WA",
            "postal_code": "980024148",
            "country_code": "US",
            "telephone_number": "253-300-1860",
            "fax_number": "833-200-5256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 Avenue H Ste 2",
            "address_purpose": "LOCATION",
            "city": "Seaside",
            "state": "OR",
            "postal_code": "971386619",
            "country_code": "US",
            "telephone_number": "833-900-1050",
            "fax_number": "833-200-5256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "AUSTIN",
        "middle_name": "MITCHELL",
        "credential": "LD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "DN60778096",
            "primary": false
        },
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "OR",
            "license": "DT-DO-10224514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON HEALTH LICENSING BOARD OF DENTURE TECHNOLOGY",
            "identifier": "DT-DO-10224514",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MONTANA BUSINESS STANDARDS DIVISION",
            "identifier": "DEN-DTR-LIC-23568",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON DEPARTMENT OF HEALTH",
            "identifier": "DN60778096",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Merrill Nelson, DDS
• Constance Nemec-Logan, LMT
• New Friends Memory Care, LLC
• New Friends of Coos Bay, LLC
• Stacy R Newman, MD
• Mai Nguyen
• Thanh Tri Nguyen, PHARMD
• Jean Marie Nichols
• Nicole Hand-Therapeutic Massage
• Karen Louise Nielsen, LPC

• Denturist in Coos Bay, OR
• Providers in Coos Bay, OR by specialty
• Denturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.