Individual provider Active NPI

David Henry Newby III, D.M.D.

  • General Practice Dentistry
  • Huntsville, AL
National Provider Identifier
1619981594
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D0003187 Issued in AL
Practice address
600 Saint Clair Ave SW
Suite 9
Huntsville, AL 35801-5008
Phone
(256) 533-6352
Fax
(256) 533-7918
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 D0003187 AL Primary

Addresses

Primary practice location

600 Saint Clair Ave SW
Suite 9
Huntsville, AL 35801-5008

Mailing address

600 Saint Clair Ave SW
Suite 9
Huntsville, AL 35801-5008
Phone (256) 533-6352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20150710000328 AL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 4486966058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D0003187ALMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619981594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SAINT CLAIR AVE SW",
            "address_2": "SUITE 9",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015008",
            "telephone_number": "256-533-6352",
            "fax_number": "256-533-7918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SAINT CLAIR AVE SW",
            "address_2": "SUITE 9",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015008",
            "telephone_number": "256-533-6352",
            "fax_number": "256-533-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBY",
        "first_name": "DAVID",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D0003187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.