DR. DANIEL DWIGHT NEWBOLD (NPI# 1386776318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386776318 |
| Entity Type | Individual |
| Full Name | DR. DANIEL DWIGHT NEWBOLD |
| Credential | DDS |
| Practice Address |
164 W Hospitality Ln Suite 10 San Bernardino CA 92408-3316 |
| Practice Telephone | 9093830625 |
| Practice Fax Number | 9093831916 |
| Mailing Telephone | 9093830625 |
| Mailing Fax Number | 9093831916 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
30705 | CA | Dental Providers |
| Street Address |
164 W HOSPITALITY LN SUITE 10 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92408-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093846198 | Augustine J Amerigo I | Chiropractor | 164 W Hospitality Ln, Ste 110, San Bernardino, CA 92408-3316 | 2007-03-08 |
| 1982016838 | Irving M. Feldkamp Dds | Dentist | 164 W Hospitality Ln, Suite 14, San Bernardino, CA 92408-3316 | 2014-05-27 |
| 1578804696 | Tri Star Medical Group & Rehab | Physical Medicine & Rehabilitation | 164 W Hospitality Ln, Ste. 16, San Bernardino, CA 92408-3316 | 2013-03-14 |
| 1104187103 | Family Planning Associates Medical Group,inc. | Clinic/Center | 164 W Hospitality Ln, 1a, San Bernardino, CA 92408-3316 | 2012-06-06 |
| 1619119328 | Rachel L Steward | Obstetrics & Gynecology | 164 W Hospitality Ln, Suite 1a, San Bernardino, CA 92408-3316 | 2009-03-26 |
| 1356516322 | Edith Herrejon | Counselor | 164 W Hospitality Ln, Ste. 4, San Bernardino, CA 92408-3316 | 2008-04-29 |
| 1699943175 | Courtney Ann Wild | Case Manager/Care Coordinator | 164 W Hospitality Ln, Suite 1-a, San Bernardino, CA 92408-3316 | 2008-02-18 |
| 1902083553 | April Faith Valento | Counselor | 164 W Hospitality Ln, Suite 1a, San Bernardino, CA 92408-3316 | 2008-01-25 |
| 1629254354 | Jennifer Marlana Rohrman | Counselor | 164 W Hospitality Ln, San Bernardino, CA 92408-3316 | 2008-01-11 |
| 1780879791 | Ginger R Myren | Marriage & Family Therapist | 164 W Hospitality Ln, Suite 1-a, San Bernardino, CA 92408-3316 | 2007-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073124681 | Valeria Armentilla Cecena | Student in an Organized Health Care Education/Training Program | 1950 Sunwest Ln., San Bernardino, CA 92408 | 2020-08-17 |
| 1588272066 | Horizon Therapy Services | Physical Therapist | 418 East Vanderbilt, San Bernardino, CA 92408 | 2020-07-21 |
| 1821627639 | Bl Anderson Medical Corporation | Emergency Medicine | 473 E Carnegie Dr., Ste 200, San Bernardino, CA 92408 | 2020-04-03 |
| 1922648104 | Infinite Hope Hospice Corp | Hospice Care, Community Based | 225 W Hospitality Ln Suite 305, San Bernardino, CA 92408 | 2020-01-15 |
| 1689210775 | Inland Empire Community Outreach Center | Counselor | 473 East Carnegie Drive, Suite 200, San Bernardino, CA 92408 | 2019-11-23 |
| 1992347801 | Care Marriage and Family Therapists, Inc. | Marriage & Family Therapist | 1881 Commercenter Drive E, Suite 232, San Bernardino, CA 92408 | 2019-10-11 |
| 1366084360 | Theraville Counseling Services, A Licensed Clinical Social Worker Corp | Social Worker | 155 W Hospitality Ln Ste 245, San Bernardino, CA 92408 | 2019-10-10 |
| 1548730419 | Adriana Alcaraz | Behavior Technician | 473 E Carnegie, Ste 200, San Bernardino, CA 92408 | 2018-12-04 |
| 1811467889 | Xavier J Molina-williams | Behavior Technician | 476 E Carnegie Drive, Ste 200, San Bernardino, CA 92408 | 2018-12-03 |
| 1780153148 | Gillian Washington | Behavior Technician | 473 E Carnegie Dr, Ste 200, Riverside, CA 92408 | 2018-11-15 |
| Find all providers in zip 92408 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1982204780 | Richard Koh Dds Ms Inc. | Dentist | 11 Delano, Irvine, CA 92602-2462 | 2020-10-30 |
| 1225641293 | Richard T. Kao, Dds, Phd - Dental Corp. | Dentist | 1660 Willow St Ste 3, San Jose, CA 95125-5101 | 2020-08-28 |
| 1093325722 | Sergio Florencio Jr, Dds, Dmsc, Inc | Dentist | 1802 San Miguel Dr, Walnut Creek, CA 94596-8606 | 2020-08-06 |
| 1205463445 | Sharona Dayan, Dds, Inc | Dentist | 9735 Wilshire Blvd Ste 211, Beverly Hills, CA 90212-2102 | 2020-03-26 |
| 1215573522 | Vanessa Bikhazi | Dentist | 2372 Se Bristol St Ste A, Newport Beach, CA 92660-0755 | 2019-11-21 |
| 1063057008 | Robert Lacrampe | Dentist | 880 W 1st St Apt 526, Los Angeles, CA 90012-2473 | 2019-11-13 |
| 1376194639 | Snow Nakano & Lopez Professional Dental Corporation | Dentist | 868 Auto Center Dr Ste A, Palmdale, CA 93551-4691 | 2019-09-26 |
| 1659926285 | Suman Ramakumar Dds Inc | Dentist | 1171 Homestead Rd Ste 175, Santa Clara, CA 95050-5484 | 2019-08-09 |
| 1912567058 | Andrew Peterson Dmd Ms PC | Dentist | 9856 Hibiscus Ct, Alta Loma, CA 91737-3637 | 2019-06-20 |
| 1124686233 | Danoukh Dental Corp. | Dentist | 12271 La Mirada Blvd Ste 201, La Mirada, CA 90638-1336 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | SAN BERNARDINO |
| Zip Code | 92408 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.