William Loren Lewis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D 10085 Issued in MN

Practice address

216 Forest St
Kenyon, MN 55946-1151

Phone

(507) 789-6211

Fax

(507) 789-6210

NPI assigned

Jan 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• William L Lewis D.D.S.,P.a.

  • General Practice Dentistry
  • Kenyon, MN
  • NPI 1043363138
  NPD (past) Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073666152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 DEER RIDGE RD",
            "city": "KENYON",
            "state": "MN",
            "postal_code": "559461519",
            "telephone_number": "507-789-5423"
        },
        {
            "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": {
        "last_name": "LEWIS",
        "first_name": "WILLIAM",
        "middle_name": "LOREN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D 10085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Emerson, RN
• Faith in Action of Dodge County, Kenyon, and Nerstrand
• Pamela Jane Farnsworth-Martin, MSPT
• Karla Jager
• Kenyon Sunset Home
• Main Street Dental of Kenyon PA
• Morcap, Inc. (Bergh Pharmacy)
• Northfield Hospital (Northfield Hospital & Clinics - Kenyon Clinic)
• Sherilyn Prigge, RN
• Karla Lee Stromme Resch

• General Practice Dentistry in Kenyon, MN
• Providers in Kenyon, MN by specialty
• General Practice Dentistry in Minnesota

• 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.

Verify at the official NPI Registry.