David M Lewis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D3810 Issued in ID

Practice address

3175 S Meridian Rd Ste 150
Meridian, ID 83642-9267

Phone

(208) 888-5470

NPI assigned

Nov 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

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 and National Provider Directory roles.

• Victory Point Dental

  • General Practice Dentistry
  • Meridian, ID
  • NPI 1578722765
  NPD (past) Authorized official

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1124199237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W CHERRY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421608",
            "telephone_number": "208-888-2055",
            "fax_number": "208-895-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 S MERIDIAN RD STE 150",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429267",
            "telephone_number": "208-888-5470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 W Cherry Ln",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836421608",
            "country_code": "US",
            "telephone_number": "208-888-2055",
            "fax_number": "208-895-0583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D3810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806916200",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annet Emily Levandovsky, M.S. CF-SLP
• Darcie L Levenson, PA
• Rhone Meri Levin, RDN, CSO
• Ryan Levinger, LCSW
• Amanda Kay Lewis, LCPC, CADC
• Katherine Lewis
• Sara Nicole Lewis, NP
• Shaye Lewis, M.D.
• Leyngold Institute for Plastic Surgery PLLC (Leyngold Institute for Plastic Surgery)
• Ilya M Leyngold, MD

• General Practice Dentistry in Meridian, ID
• Providers in Meridian, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.