Active NPI
Shera Newcomb, DMD
- General Practice Dentistry
- London, KY
National Provider Identifier
1255448403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8211
- Practice address
- 1303 S Laurel Rd
London, KY 40744-8304 - Phone
- (606) 877-2700
- Fax
- (606) 877-9190
- NPI assigned
- Aug 24, 2006
- Sex
- Female
- 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 | 8211 | KY | Primary |
Addresses
Primary practice location
1303 S Laurel Rd
London, KY 40744-8304
Mailing address
1303 S Laurel Rd
London, KY 40744-8304
Phone (606) 877-2700
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 |
|---|---|---|---|
| 8211 | KY | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576108800000",
"number": "1255448403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 S LAUREL RD",
"city": "LONDON",
"state": "KY",
"postal_code": "407448304",
"telephone_number": "606-877-2700",
"fax_number": "606-877-9190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 S LAUREL RD",
"city": "LONDON",
"state": "KY",
"postal_code": "407448304",
"telephone_number": "606-877-2700",
"fax_number": "606-877-9190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWCOMB",
"first_name": "SHERA",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2019-12-12",
"certification_date": "2019-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "8211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.