Elise Michelle Newsome, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9201 Issued in NC

Practice address

104 W. Northwood Street
Suite C
Greensboro, NC 27401

Phone

(919) 484-8088

Fax

(919) 484-8044

NPI assigned

Sep 10, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

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.

• Elise Newsome DDS PA

  • Dental Clinic/Center
  • Greensboro, NC
  • NPI 1194231340
  NPD Authorized official

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1811204902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 NORTHCREEK DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073369",
            "telephone_number": "919-308-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W. NORTHWOOD STREET",
            "address_2": "SUITE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27401",
            "telephone_number": "919-484-8088",
            "fax_number": "919-484-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "ELISE",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "9201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263880403",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Ernest Newman, MD
• David H Newman, M.D.
• Heather McPeters Newman, RN
• Glenn Newsom
• Allie Kaye Newsome, COTA/L
• Elizabeth Cicely Newsome, NP
• Elizabeth N Newton, LPCA
• Frederic Kendall Newton, M.D.
• Jamian Newton, M.S., LPCA, NCC
• Kimberly Niles Newton, M.D.

• General Practice Dentistry in Greensboro, NC
• Providers in Greensboro, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.