Justin C Newingham, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901019096 Issued in MI

Practice address

2425 E. Lincoln St. #110
Birmingham, MI 48009

Phone

(248) 644-1810

Fax

(248) 644-4692

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Newingham & Kim, PLLC

  • General Practice Dentistry
  • Birmingham, MI
  • NPI 1568327799
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1447346358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 E. LINCOLN ST. #110",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "48009",
            "telephone_number": "248-644-1810",
            "fax_number": "248-644-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 E. LINCOLN ST. #110",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "48009",
            "telephone_number": "248-644-1810",
            "fax_number": "248-644-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWINGHAM",
        "first_name": "JUSTIN",
        "middle_name": "C",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Kole Nakisher, PT
• Nancy C Liebler PHD
• Nancy Dolin Dietrich, PH.D., LLC
• Nancy Jane Naski, MA.CTRS
• Newingham & Kim, PLLC
• Steven Ernst Nickoloff, M.D.
• Nicole Sapiro Vinckier
• Christopher Nightingale, PHARMD
• Mark Nimtz, PHD
• William Russell Nixon Jr., PH.D.

• General Practice Dentistry in Birmingham, MI
• Providers in Birmingham, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; 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.

Verify at the official NPI Registry.