Active NPI
Nicole Castro Newberry, DMD
- Dentist
- Baltimore, MD
National Provider Identifier
1669260022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 18496
- Practice address
- 650 W Baltimore St
Baltimore, MD 21201-1510 - Phone
- (301) 448-7593
- NPI assigned
- Apr 28, 2025
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 18496 | MD | Primary |
Addresses
Primary practice location
650 W Baltimore St
Baltimore, MD 21201-1510
Mailing address
900 E Fort Ave Apt 403
Baltimore, MD 21230-5293
Phone (301) 448-7593
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 |
|---|---|---|---|
| 18496 | MD | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745798400000",
"number": "1669260022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 E FORT AVE APT 403",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212305293",
"telephone_number": "301-448-7593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 W BALTIMORE ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011510",
"telephone_number": "301-448-7593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBERRY",
"first_name": "NICOLE",
"middle_name": "CASTRO",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-28",
"last_updated": "2025-04-28",
"certification_date": "2025-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "18496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.