Individual provider Active NPI

Michael J Newman, DMD

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1215299896
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413612 Issued in VA
Practice address
2236 General Booth Blvd Ste 100
Virginia Beach, VA 23456-4092
Phone
(757) 427-9300
NPI assigned
Jun 11, 2012
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN19752 FL
General Practice Dentistry 1223G0001X 0401413612 VA Primary

Addresses

Primary practice location

2236 General Booth Blvd Ste 100
Virginia Beach, VA 23456-4092

Mailing address

2236 General Booth Blvd Ste 100
Virginia Beach, VA 23456-4092
Phone (757) 427-9300

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
DN19752FLMDGeneral Practice Dentistry
0401413612VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Newman Tam and Assoc PC General Practice CurrentSince Apr 14, 2024 Accepting new patients
Konikoff Dental Associates, Inc. General Practice Past Accepting new patients
Konikoff Dental Past Accepting new patients
David L. Jones, DDS & Assoc., PC PastSince Apr 14, 2024 Accepting new patients

Locations

2236 General Booth Blvd
Ste 100
Virginia Beach, VA 23456
Phone (757) 427-9300

Organizations & group practices 4

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": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1215299896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 GENERAL BOOTH BLVD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564092",
            "telephone_number": "757-427-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 GENERAL BOOTH BLVD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234564092",
            "telephone_number": "757-427-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19752",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; 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.