Justin Anthony Newsom, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14324 Issued in TX

Practice address

3230 S Eisenhower Pkwy
Denison, TX 75020-7818

Phone

(903) 465-1881

Fax

(903) 463-4070

NPI assigned

Jan 20, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pro Spine and Sport LLCGroup PAC ID 9234440686, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pro Spine and Sport, LLC

  • Sports Physician Chiropractor
  • Central Point, OR
  • NPI 1912385816
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1881224780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 S EISENHOWER PKWY",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750207818",
            "telephone_number": "903-465-1881",
            "fax_number": "903-463-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 S EISENHOWER PKWY",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750207818",
            "telephone_number": "903-465-1881",
            "fax_number": "903-463-4070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 W Washington St",
            "address_purpose": "LOCATION",
            "city": "Sherman",
            "state": "TX",
            "postal_code": "750905833",
            "country_code": "US",
            "telephone_number": "903-892-3471",
            "fax_number": "903-893-2745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "JUSTIN",
        "middle_name": "ANTHONY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naga S Tripuraneni
• Nanaws Place Assisted Living
• Armida Bueno Navarrete, MSW
• Allison Leigh Nelson, SLP
• John Pearce Nelson, PT
• John Tyler Newton, D.O.
• Betty Ngoc Nguyen
• Nhat Q. Nguyen, M.D.
• Tyler James Nichols, MD
• Kelly D Nicholson, SLP

• Chiropractor in Denison, TX
• Providers in Denison, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.