Active NPI
New Dawn 365 Centers PLLC
- Addiction Medicine (Preventive Medicine) Physician
- Lexington, KY
National Provider Identifier
1104383322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Preventive Medicine) Physician
- Legal business name
- NEW DAWN 365 CENTERS PLLC
- Practice address
- 2101 Wiltshire PL
Lexington, KY 40515-1167 - Phone
- (304) 617-7140
- NPI assigned
- Feb 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohamed Sadek, MD, MBA
- Title
- Owner
- Phone
- (304) 617-7140
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | |||
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | |||
| Addiction Medicine (Preventive Medicine) Physician | 2083A0300X | Primary |
Addresses
Primary practice location
2101 Wiltshire PL
Lexington, KY 40515-1167
Mailing address
2101 Wiltshire PL
Lexington, KY 40515-1167
Phone (304) 617-7140
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550966400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579219200000",
"number": "1104383322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 WILTSHIRE PL",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405151167",
"telephone_number": "304-617-7140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 WILTSHIRE PL",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405151167",
"telephone_number": "304-617-7140"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW DAWN 365 CENTERS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-24",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A",
"authorized_official_last_name": "SADEK",
"authorized_official_first_name": "MOHAMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-617-7140",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD, MBA"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083A0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.