Active NPI
Roger K Newman, DDS
- General Practice Dentistry
- Columbia Falls, MT
National Provider Identifier
1962513085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1613
- Practice address
- 160 Nucleus Ave
Columbia Falls, MT 59912-4010 - Phone
- (406) 892-2085
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1613 | MT | Primary |
Addresses
Primary practice location
160 Nucleus Ave
Columbia Falls, MT 59912-4010
Mailing address
PO Box 2065
Columbia Falls, MT 59912-2065
Phone (406) 892-2085
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5510992 | Medicaid | MT | |
| 0111877 | Medicaid | MT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1613 | MT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger K Newman DDS Inc | General Practice | Past | Accepting new patients |
| Evon T. Heaser, D.D.S., P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Columbia Falls, MT
- NPI 1639386824
-
- Dentist
- Columbia Falls, MT
- NPI 1750736609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1962513085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2065",
"city": "COLUMBIA FALLS",
"state": "MT",
"postal_code": "599122065",
"telephone_number": "406-892-2085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 NUCLEUS AVE",
"city": "COLUMBIA FALLS",
"state": "MT",
"postal_code": "599124010",
"telephone_number": "406-892-2085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWMAN",
"first_name": "ROGER",
"middle_name": "K",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MT",
"license": "1613",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5510992",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0111877",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.