Jason D Lewis DDS PA

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

DN16561 Issued in FL

Legal business name

JASON D LEWIS DDS PA

Doing business as

Bartram Dental Center

Practice address

130 Gateway Cir
Jacksonville, FL 32259-4003

Phone

(904) 201-6000

Fax

(904) 201-6004

NPI assigned

Apr 3, 2012

Last updated

May 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Dean Lewis, DDSNPI 1285719641

Title

Owner/Dentist

Phone

(904) 201-6000

Specialties & licenses 1

Addresses

Other names 1

• BARTRAM DENTAL CENTER Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Dean Lewis, D.D.S.

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1285719641
  Authorized official Same address or phone

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338336000000",
    "number": "1043576150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GATEWAY CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322594003",
            "telephone_number": "904-201-6000",
            "fax_number": "904-201-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GATEWAY CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322594003",
            "telephone_number": "904-201-6000",
            "fax_number": "904-201-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JASON D LEWIS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2012-05-30",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "904-201-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "DN16561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BARTRAM DENTAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emma-Lee Helen Jarvis
• Gary Jarvis, PH.D.
• Leigh Ann Jasinnas, D.C.
• Jasmine Non Medical Transportation LLC
• Jason B Widrich MD PA
• Jason Manuel PA
• Jason Meier MD PA
• Jason's Place Aja LLC
• Kathleen Jasper, ARNP, CRNA
• Madison Jasper

• Customized Equipment (DME) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.