Individual provider Active NPI

Ronald A. Lewis, DDS

  • General Practice Dentistry
  • Goodlettsville, TN
National Provider Identifier
1043202112
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS3934 Issued in TN
Practice address
525 Rivergate Pkwy
Suite 1
Goodlettsville, TN 37072-2078
Phone
(615) 859-2276
Fax
(615) 859-2328
NPI assigned
Aug 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS3934 TN Primary

Addresses

Primary practice location

525 Rivergate Pkwy
Suite 1
Goodlettsville, TN 37072-2078

Mailing address

525 Rivergate Pkwy
Suite 1
Goodlettsville, TN 37072-2078
Phone (615) 859-2276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151030001166 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5799095931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Dental PLC Past 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.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043202112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 RIVERGATE PKWY",
            "address_2": "SUITE 1",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722078",
            "telephone_number": "615-859-2276",
            "fax_number": "615-859-2328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 RIVERGATE PKWY",
            "address_2": "SUITE 1",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722078",
            "telephone_number": "615-859-2276",
            "fax_number": "615-859-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "RONALD",
        "middle_name": "A.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.