John Graham Newman, D.D.S., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

5000810-015 Issued in WI

Practice address

1537 Park PL Ste 300
Green Bay, WI 54304-1986

Phone

(920) 498-8711

Fax

(920) 498-9030

NPI assigned

Jan 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689727729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 PARK PL STE 300",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041986",
            "telephone_number": "920-498-8711",
            "fax_number": "920-498-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 PARK PL STE 300",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543041986",
            "telephone_number": "920-498-8711",
            "fax_number": "920-498-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "JOHN",
        "middle_name": "GRAHAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "5000810-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Wellness Associates, Inc. (New Wellness Associates)
• Newcap, Inc.
• Brandon E Newell, DDS
• David C Newell, MD
• Newisconsin MRI Center of Green Bay LLC
• Nexora Medical Transport LLC
• Jimmy Khang Nguyen, PA-C
• Thuy Nguyen, DMD
• Vannhu Nguyen, M.D.
• Shay Nicholas, M.D.

• Endodontics in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Endodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.