NPIMap

Organization Active NPI

William L Lewis D.D.S.,P.a.

  • General Practice Dentistry
  • Kenyon, MN
National Provider Identifier
1043363138
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D 10085 Issued in MN
Legal business name
WILLIAM L LEWIS D.D.S.,P.A.
Practice address
216 Forest St
Kenyon, MN 55946-1151
Phone
(507) 789-6211
Fax
(507) 789-6210
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
William L Lewis, D.D.S.NPI 1073666152
Title
Ownerceo
Phone
(507) 789-6211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X D 10085 MN Primary

Addresses

Primary practice location

216 Forest St
Kenyon, MN 55946-1151

Mailing address

216 Forest St
Kenyon, MN 55946-1151
Phone (507) 789-6211

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043363138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 FOREST ST",
            "city": "KENYON",
            "state": "MN",
            "postal_code": "559461151",
            "telephone_number": "507-789-6211",
            "fax_number": "507-789-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 FOREST ST",
            "city": "KENYON",
            "state": "MN",
            "postal_code": "559461151",
            "telephone_number": "507-789-6211",
            "fax_number": "507-789-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L LEWIS D.D.S.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNERCEO",
        "authorized_official_telephone_number": "507-789-6211",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D 10085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenyon, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.