Individual provider Active NPI

Taylor Anderson Newman, DMD, MMS

  • General Practice Dentistry
  • Pensacola, FL
National Provider Identifier
1205407301
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26249 Issued in FL
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
26249FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Victus Dental II PA CurrentSince Jul 17, 2021 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.

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.

Verify at the official NPI Registry.