Active NPI
Michael J Newman, DDS
- General Practice Dentistry
- Seymour, TX
National Provider Identifier
1720188774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11207
- Practice address
- 103 E Nevada
Seymour, TX 76380 - Phone
- (940) 889-4444
- Fax
- (940) 889-4450
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11207 | TX | Primary |
Addresses
Primary practice location
103 E Nevada
Seymour, TX 76380
Mailing address
103 E Nevada
Seymour, TX 76380
Phone (940) 889-4444
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B1120701 | Other | TX | CHIP |
| 009529103 | Medicaid | TX |
Other names 1
- Michael J Newman
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 Feb 22, 2016 through Feb 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11207 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1720188774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 E NEVADA",
"city": "SEYMOUR",
"state": "TX",
"postal_code": "76380",
"telephone_number": "940-889-4444",
"fax_number": "940-889-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 E NEVADA",
"city": "SEYMOUR",
"state": "TX",
"postal_code": "76380",
"telephone_number": "940-889-4444",
"fax_number": "940-889-4450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "11207",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIP",
"identifier": "B1120701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009529103",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHAEL",
"last_name": "NEWMAN",
"middle_name": "J",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Seymour, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.