Active NPI
Michael Evan Newman, D.D.S.
- Endodontics
- Delray Beach, FL
National Provider Identifier
1407078124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN 15718
- Practice address
- 13722 S Jog Rd Ste B
Delray Beach, FL 33446-5909 - Phone
- (561) 258-9947
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 048686 | NY | |
| Endodontics | 1223E0200X | DN 15718 | FL | Primary |
Addresses
Primary practice location
13722 S Jog Rd Ste B
Delray Beach, FL 33446-5909
Mailing address
126 Windward Dr
Palm Beach Gardens, FL 33418-4010
Phone (917) 653-7270
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150708002124 | NY | Order and Referring Only - Dentist | 9032421755 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 15718 | FL | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623024000000",
"number": "1407078124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 WINDWARD DR",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334184010",
"telephone_number": "917-653-7270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13722 S JOG RD STE B",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334465909",
"telephone_number": "561-258-9947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "MICHAEL",
"middle_name": "EVAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2021-06-07",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "048686",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN 15718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.