Active NPI
Denise Holton Newby, CFM
- Mastectomy Fitter
- Dothan, AL
National Provider Identifier
1992217285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mastectomy Fitter
- License
- 368
- Practice address
- 2800 Ross Clark Cir Ste 1
Dothan, AL 36301-2039 - Phone
- (334) 793-2211
- NPI assigned
- Oct 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mastectomy Fitter | 224900000X | 00000000000000000368 | AL | |
| Mastectomy Fitter | 224900000X | 368 | AL | Primary |
Addresses
Primary practice location
2800 Ross Clark Cir Ste 1
Dothan, AL 36301-2039
Mailing address
3739 Jordon Ave
Cowarts, AL 36321-5634
Phone (334) 797-9273
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 |
|---|---|---|---|
| 368 | AL | MD | Podiatrist |
| 00000000000000000368 | AL | MD | Mastectomy Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pink Alternative LLC | Single Specialty | Current | 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 and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Dothan, AL
- NPI 1538658950
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1992217285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3739 JORDON AVE",
"city": "COWARTS",
"state": "AL",
"postal_code": "363215634",
"telephone_number": "334-797-9273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 ROSS CLARK CIR STE 1",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363012039",
"telephone_number": "334-793-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWBY",
"first_name": "DENISE",
"middle_name": "HOLTON",
"credential": "CFM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-26",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "224900000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Mastectomy Fitter",
"state": "AL",
"license": "00000000000000000368",
"primary": false
},
{
"code": "224900000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Mastectomy Fitter",
"state": "AL",
"license": "368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
- Neurological Associates of Dothan
- New Beacon Healthcare Group, LLC
- New Foundations Counseling Services, LLC
- New Hope Adolescent Home, Inc.
- New Paradigm in Cardiothoracic Surgery, LLC
- Carolyn Newman
- Gabriel Mills Newman, PHARMD
- D'Angeleau Newsome, DO
- Daniel Anthony Newton Jr., R.PH.
- DO Tu Nguyen, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.