Active NPI
Deborah Lee Cooper-Newland, DDS PLLC
- Oral and Maxillofacial Surgery (Dentist)
- Bellaire, TX
National Provider Identifier
1689679227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 17793
- Practice address
- 5001 Bissonnet St
Ste 103
Bellaire, TX 77401-4015 - Phone
- (713) 592-9336
- Fax
- (713) 592-9337
- NPI assigned
- Jun 20, 2005
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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 identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 760445216 | Other | TAX ID | |
| D17793 | Other | TX | BCBS ID |
| 17793 | Other | TX | STATE LICENSE |
Other names 1
- Mrs. Deborah Lee Newland
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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17793 | TX | MD | Oral and Maxillofacial Surgery (Dentist) |
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "760445216",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ID",
"identifier": "D17793",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "17793",
"state": "TX"
}
],
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.