Individual provider Active NPI

Deborah Lee Cooper-Newland, DDS PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Bellaire, TX
National Provider Identifier
1689679227
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
17793 Issued in TX
Practice address
5001 Bissonnet St
Ste 103
Bellaire, TX 77401-4015
Phone
(713) 592-9336
Fax
(713) 592-9337
NPI assigned
Jun 20, 2005
Last updated
Jan 20, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 17793 TX Primary

Addresses

Primary practice location

5001 Bissonnet St
Ste 103
Bellaire, TX 77401-4015

Mailing address

5001 Bissonnet St
Ste 103
Bellaire, TX 77401-4015
Phone (713) 592-9336

Other names 1

  • Mrs. Deborah Lee Newland Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Dec 11, 2012 through Dec 11, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17793TXMDOral and Maxillofacial Surgery (Dentist)

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1689679227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 BISSONNET ST",
            "address_2": "STE 103",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014015",
            "telephone_number": "713-592-9336",
            "fax_number": "713-592-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 BISSONNET ST",
            "address_2": "STE 103",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014015",
            "telephone_number": "713-592-9336",
            "fax_number": "713-592-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER-NEWLAND",
        "first_name": "DEBORAH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS PLLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "17793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORAH",
            "last_name": "NEWLAND",
            "middle_name": "LEE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellaire, TX

Sources for this page

Verify at the official NPI Registry.