DR. JEFFERSON LAMAR NEWBERN IV DMD
NPI 1497074504
Dentist in Dayton, OH

Q: What is Jefferson Newbern's NPI number?

The NPI number for Jefferson Newbern is 1497074504. It was assigned to this individual provider in the NPPES registry on May 28, 2010.

Q: What is Jefferson Newbern's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jefferson Newbern was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 28, 2010PECOS Enrolled

3609 N DIXIE DR, DAYTON, OH 45414(229) 560-5494(937) 278-8232 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jefferson Lamar Newbern Iv Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFERSON LAMAR NEWBERN IV DMD (NPI 1497074504) is an individual dentist in Dayton, Ohio, licensed in Ohio (30.027009) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497074504

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JEFFERSON LAMAR NEWBERN IVCredential: DMD

Location Address3609 N DIXIE DRDayton, OH 45414-5232

Mailing Address3609 N Dixie DrDayton, OH 45414-5232 · (229) 560-5494 · Fax (937) 278-8232

Phone(229) 560-5494

Fax(937) 278-8232

Sole ProprietorNo

Enumeration DateMay 28, 2010

Last NPPES UpdateJanuary 24, 2025

NPPES CertifiedJanuary 24, 2025

✔ NPI 1497074504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in OH · 30.027009✔ Licensed in KY · 8866

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

3609 N DIXIE DR, Dayton, OH 45414

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jefferson Lamar Newbern Iv Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45414 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT SCOTT MEUSELBACH D.D.S.

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