Individual provider Active NPI

Patricia Jean New, D.D.S.

  • General Practice Dentistry
  • Greenwood, IN
National Provider Identifier
1851358626
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12010449A Issued in IN
Practice address
1700 West Smith Valley Road,
Suite C-2
Greenwood, IN 46142-7106
Phone
(317) 888-6684
Fax
(317) 888-6687
NPI assigned
Apr 27, 2006
Last updated
May 27, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12010449A IN Primary

Addresses

Primary practice location

1700 West Smith Valley Road,
Suite C-2
Greenwood, IN 46142-7106

Mailing address

1700 West Smith Valley Road,
Suite C-2
Greenwood, IN 46142-7106
Phone (317) 888-6684

Other identifiers 2

IdentifierTypeStateIssuer
1744673OtherINUNITED CONCORDIA
200532750 AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20170302001530 IN Order and Referring Only - DentistPractitioner - Dentist 8123344033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A New Smile, P.C. 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, 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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1851358626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WEST SMITH VALLEY ROAD,",
            "address_2": "SUITE C-2",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461427106",
            "telephone_number": "317-888-6684",
            "fax_number": "317-888-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WEST SMITH VALLEY ROAD,",
            "address_2": "SUITE C-2",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461427106",
            "telephone_number": "317-888-6684",
            "fax_number": "317-888-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEW",
        "first_name": "PATRICIA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010449A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1744673",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200532750 A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.