NPIMap

Organization Active NPI

Justin C. Newingham D.D.S.

  • General Practice Dentistry
  • Bloomfield Hills, MI
National Provider Identifier
1679747109
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19096 Issued in MI
Legal business name
JUSTIN C. NEWINGHAM D.D.S.
Practice address
50 W Big Beaver Rd Ste 240
Bloomfield Hills, MI 48304-3907
Phone
(248) 644-1810
Fax
(248) 644-4692
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Dr. Justin Carl Newingham, D.D.S.
Title
President
Phone
(248) 644-1810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 19096 MI Primary

Addresses

Primary practice location

50 W Big Beaver Rd Ste 240
Bloomfield Hills, MI 48304-3907

Mailing address

50 W Big Beaver Rd Ste 240
Bloomfield Hills, MI 48304-3907
Phone (248) 644-1810

Other identifiers 2

IdentifierTypeStateIssuer
1689760118OtherMINPI
1447346358OtherMINPI

Other names 1

  • The Beautiful Smile Doing business as

National Provider Directory

National Provider Directory

Locations

50 W Big Beaver Rd
Ste 240
Bloomfield Hills, MI 48304
Phone (248) 644-1810

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1679747109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W BIG BEAVER RD STE 240",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043907",
            "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": "50 W BIG BEAVER RD STE 240",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483043907",
            "telephone_number": "248-644-1810",
            "fax_number": "248-644-4692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN C. NEWINGHAM D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "NEWINGHAM",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-644-1810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "19096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689760118",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447346358",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Beautiful Smile",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.