J Dennis Lewis DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

27162 Issued in CA

Legal business name

J DENNIS LEWIS DDS PC

Practice address

1770 E Lambert Rd
#220
Brea, CA 92821-4372

Phone

(714) 990-8891

Fax

(714) 990-1649

NPI assigned

Nov 22, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Carolyn C Lewis, CDA

Title

Business Manager

Phone

(714) 990-8891

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Jack Dennis Lewis, DDS

  • Dentist
  • Brea, CA
  • NPI 1568470433
  NPD (past)

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1043385107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 WEST CENTRAL AVE",
            "address_2": "#201",
            "city": "BREA",
            "state": "CA",
            "postal_code": "92821",
            "telephone_number": "714-990-8891",
            "fax_number": "714-990-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E LAMBERT RD",
            "address_2": "#220",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214372",
            "telephone_number": "714-990-8891",
            "fax_number": "714-990-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J DENNIS LEWIS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "714-990-8891",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "27162",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": "27162",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Brea, CA
• Providers in Brea, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.