Organization Active NPI

Newberry Dentistry Inc.

  • General Practice Dentistry
  • Napa, CA
National Provider Identifier
1194533083
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NEWBERRY DENTISTRY INC.
Practice address
3220 Beard Rd Ste a
Napa, CA 94558-3403
Phone
(707) 255-2832
Fax
(707) 254-7513
NPI assigned
Dec 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Dr. Justin Scott Newberry, DDSNPI 1316259187
Title
President
Phone
(707) 255-2832

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3220 Beard Rd Ste a
Napa, CA 94558-3403

Mailing address

3220 Beard Rd Ste a
Napa, CA 94558-3403
Phone (707) 255-2832

Other names 1

  • Napa Valley Sleep Solutions Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250408003495 CA Part B Supplier - Clinic/Group Practice 0042734790 Receives reassigned benefits from 3 practitioners
Practice locations: Napa, CA

National Provider Directory

National Provider Directory

Locations

3220 Beard Rd
Ste A
Napa, CA 94558
Phone (707) 255-2832

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1194533083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 BEARD RD STE A",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583403",
            "telephone_number": "707-255-2832",
            "fax_number": "707-254-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 BEARD RD STE A",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583403",
            "telephone_number": "707-255-2832",
            "fax_number": "707-254-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERRY DENTISTRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "NEWBERRY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-255-2832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Napa Valley Sleep Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.