Individual provider Active NPI

Dirk A. Newman, DDS

  • Dentist
  • Tucson, AZ
National Provider Identifier
1821243627
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D008902 Issued in AZ
Practice address
5977 E Grant Rd Ste 115
Tucson, AZ 85712-2341
Phone
(520) 296-5439
Fax
(520) 296-4584
NPI assigned
Nov 20, 2008
Last updated
Oct 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 5812015 WI
Dentist 122300000X D008902 AZ Primary

Addresses

Primary practice location

5977 E Grant Rd Ste 115
Tucson, AZ 85712-2341

Mailing address

5977 E Grant Rd Ste 115
Tucson, AZ 85712-2341
Phone (520) 296-5439

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

State licenses

LicenseStateTypeSpecialty
D008902AZMDDentist
5812015WIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dirk a Newman DDS, PC Dentist CurrentSince Dec 1, 2019 Accepting new patients

Locations

5977 E Grant Rd
Ste 115
Tucson, AZ 85712
Phone (520) 296-5439

7255 E Tanque Verde Rd
Ste 101
Tucson, AZ 85715
Phone (520) 296-5439

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1227139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1821243627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5977 E GRANT RD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122341",
            "telephone_number": "520-296-5439",
            "fax_number": "520-296-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5977 E GRANT RD STE 115",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122341",
            "telephone_number": "520-296-5439",
            "fax_number": "520-296-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "DIRK",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-20",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WI",
            "license": "5812015",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D008902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.