Individual provider Active NPI

Alan Keith Newman, DDS

  • Dentist
  • San Diego, CA
National Provider Identifier
1932142999
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24489 Issued in CA
Practice address
1050 Island Avenue
Unit 702
San Diego, CA 92101-7211
Phone
(714) 475-8608
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24489 CA Primary

Addresses

Primary practice location

1050 Island Avenue
Unit 702
San Diego, CA 92101-7211

Mailing address

1050 Island Avenue
Unit 702
San Diego, CA 92101-7211
Phone (714) 475-8608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20151230001797 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4082916549

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24489CAMDDentist

Interoperability endpoints

  • Direct secure messaging: alan.newman.p1@direct.sunset.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1932142999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 ISLAND AVENUE",
            "address_2": "UNIT 702",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017211",
            "telephone_number": "714-475-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 ISLAND AVENUE",
            "address_2": "UNIT 702",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921017211",
            "telephone_number": "714-475-8608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "ALAN",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "24489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.