Active NPI
Linda Lewis, DDS
- Dentist
- Crosslake, MN
National Provider Identifier
1003965195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- MN11237
- Practice address
- 35252 County Road 3
Crosslake, MN 56442-2804 - Phone
- (218) 692-1522
- Fax
- (218) 692-1524
- NPI assigned
- Jan 9, 2007
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | MN11237 | MN | Primary |
Addresses
Primary practice location
35252 County Road 3
Crosslake, MN 56442-2804
Mailing address
35252 County Road 3
P.O. Box 548
Crosslake, MN 56442-2804
Phone (218) 692-1522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MN11237 | MN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003965195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35252 COUNTY ROAD 3",
"address_2": "P.O. BOX 548",
"city": "CROSSLAKE",
"state": "MN",
"postal_code": "564422804",
"telephone_number": "218-692-1522",
"fax_number": "218-692-1524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35252 COUNTY ROAD 3",
"city": "CROSSLAKE",
"state": "MN",
"postal_code": "564422804",
"telephone_number": "218-692-1522",
"fax_number": "218-692-1524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "LINDA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "MN11237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crosslake, MN
- Arika Lee Howard, DT
- Kappes Pharmaceutical LLC (Crosslake Drug)
- KC Companies of Crosslake, Inc. (Golden Horizons of Crosslake)
- Key Wellness PLLC
- Kiersten Masello DDS PLLC (Crosslake Dental Center, PA)
- Sannah Lohmiller
- Sara Marie Lokstad, M.D.
- Naomi Nelson, MS, LPCC
- Northwoods Chiropractic P. a.
- Anicia Gwen Peterson, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.