Jacob S Lewis, DMD, P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

019030478 Issued in IL

Legal business name

JACOB S LEWIS, DMD, P.C.

Practice address

2233 Greenbay Rd
North Chicago, IL 60064

Phone

(312) 206-9541

NPI assigned

Dec 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Steven Lewis, DMD

Title

Dentist

Phone

(312) 206-9541

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482192000000",
    "number": "1003351503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 W WAVELAND AVE",
            "address_2": "3S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606134331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 GREENBAY RD",
            "city": "NORTH CHICAGO",
            "state": "IL",
            "postal_code": "60064",
            "telephone_number": "312-206-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB S LEWIS, DMD, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-20",
        "last_updated": "2016-12-20",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "312-206-9541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019030478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• David J Jagodzinski, M.S.
• James a Lovell Federal Health Care Center

• Dentist in North Chicago, IL
• Providers in North Chicago, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.