Organization Active NPI

Newhart Dental Inc

  • Dentist
  • San Diego, CA
National Provider Identifier
1831423623
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47763 Issued in CA
Legal business name
NEWHART DENTAL INC
Practice address
4520 Executive Dr Ste 340
San Diego, CA 92121-3020
Phone
(858) 677-0661
NPI assigned
Sep 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Dr. Damian L Newhart, DDS
Title
DDS
Phone
(949) 215-0112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 47763 CA Primary

Addresses

Primary practice location

4520 Executive Dr Ste 340
San Diego, CA 92121-3020

Mailing address

20062 SW Birch St Ste 220
Newport Beach, CA 92660-1519
Phone (949) 863-9654

Other names 1

  • Newhart Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

4520 Executive Dr
Ste 340
San Diego, CA 92121
Phone (858) 597-9844

NPI Registry JSON

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1831423623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20062 SW BIRCH ST STE 220",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601519",
            "telephone_number": "949-863-9654",
            "fax_number": "949-625-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 EXECUTIVE DR STE 340",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213020",
            "telephone_number": "858-677-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWHART DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "NEWHART",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "949-215-0112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "47763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newhart Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; 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.