Active NPI
John C Newland, D.M.D.
- Dentist
- Drexel Hill, PA
National Provider Identifier
1770640344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS02442-L
- Practice address
- 4998 State Rd
Drexel Hill, PA 19026-4626 - Phone
- (610) 259-9719
- Fax
- (610) 394-9413
- NPI assigned
- Jan 3, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS02442-L | PA | Primary |
Addresses
Primary practice location
4998 State Rd
Drexel Hill, PA 19026-4626
Mailing address
109 Glenwood Rd
Merion Station, PA 19066-1305
Phone (610) 667-0142
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160602000719 | PA | Order and Referring Only - Dentist | 4486944519 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS02442-L | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1770640344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 GLENWOOD RD",
"city": "MERION STATION",
"state": "PA",
"postal_code": "190661305",
"telephone_number": "610-667-0142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4998 STATE RD",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190264626",
"telephone_number": "610-259-9719",
"fax_number": "610-394-9413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWLAND",
"first_name": "JOHN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS02442-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Drexel Hill, PA
Sources for this page
- 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.