Active NPI
Taylor Anderson Newman, DMD, MMS
- General Practice Dentistry
- Pensacola, FL
National Provider Identifier
1205407301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 26249
- Practice address
- 1308 W Nine Mile Rd Ste 9
Pensacola, FL 32534-1761 - Phone
- (850) 484-4844
- NPI assigned
- Jul 8, 2021
- Last updated
- Jul 8, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 26249 | FL | Primary |
Addresses
Primary practice location
1308 W Nine Mile Rd Ste 9
Pensacola, FL 32534-1761
Mailing address
4681 Canter Row
Pensacola, FL 32526-5080
Phone (540) 320-7398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26249 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victus Dental II PA | Current | Accepting new patients |
Locations
1308 W Nine Mile Rd
Ste 9
Pensacola, FL 32534
Phone (850) 484-4844
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dental Clinic/Center
- Penscola, FL
- NPI 1467917823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1205407301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4681 CANTER ROW",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325265080",
"telephone_number": "540-320-7398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 W NINE MILE RD STE 9",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325341761",
"telephone_number": "850-484-4844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "TAYLOR",
"middle_name": "ANDERSON",
"name_prefix": "Dr.",
"credential": "DMD, MMS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-08",
"last_updated": "2021-07-08",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "26249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.