Winona Mae Newman, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3125 Issued in SC

Practice address

3112 Dick Pond Road
Myrtle Beach, SC 29588-4833

Phone

(843) 294-5437

Fax

(843) 294-5440

NPI assigned

Jan 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Grand Strand Pediatric Dentistry

  • Pediatric Dentistry
  • Myrtle Beach, SC
  • NPI 1881800480
  NPD (past) Authorized official

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1699828681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 DICK POND ROAD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884833",
            "telephone_number": "843-294-5437",
            "fax_number": "843-294-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3112 DICK POND ROAD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295884833",
            "telephone_number": "843-294-5437",
            "fax_number": "843-294-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "WINONA",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-21",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3125",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401008654",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "012326",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "SC",
            "license": "0476 PD",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZX3125",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA929590",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New Hope Family Services
• New Life Chiropractic Center LLC (New Life Chiropractic)
• New Progressions of South Carolina, LLC
• Donna Lynne Newhouse, DONNA NEWHOUSE
• Christopher Newman I, RT(S)
• Andrew CHI Nguyen, DO
• Jimmy Nguyen, MD
• Kim Thien Nguyen, MD
• Linh Phuong Nguyen, DDS
• Minh Quoc Nguyen, DO

• Dentist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Dentist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.