Active NPI
Jarrett R Newsome, DMD
- General Practice Dentistry
- Columbia, SC
National Provider Identifier
1780739730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3642
- Practice address
- 3809 Rosewood Drive
Ste a
Columbia, SC 29205 - Phone
- (803) 782-6966
- Fax
- (803) 782-6969
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 3642 | SC | Primary |
Addresses
Primary practice location
3809 Rosewood Drive
Ste a
Columbia, SC 29205
Mailing address
3809 Rosewood Drive
Ste a
Columbia, SC 29205
Phone (803) 782-6966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2X3642 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newsome Family Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Columbia, SC
- NPI 1063551901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1780739730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3809 ROSEWOOD DRIVE",
"address_2": "STE A",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29205",
"telephone_number": "803-782-6966",
"fax_number": "803-782-6969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3809 ROSEWOOD DRIVE",
"address_2": "STE A",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29205",
"telephone_number": "803-782-6966",
"fax_number": "803-782-6969"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWSOME",
"first_name": "JARRETT",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2025-03-14",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "SC",
"license": "3642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2X3642",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.