Kevan G Lewis MD LLC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

DR-45901 Issued in CO

Legal business name

KEVAN G LEWIS MD LLC

Practice address

3879 E 120TH Ave
Ste 238
Thornton, CO 80233-1658

Phone

(401) 525-8084

NPI assigned

Dec 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kevan G Lewis, MD

Title

Owner

Phone

(401) 525-8084

Specialties & licenses 7

Addresses

Locations

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1124263546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3879 E 120TH AVE",
            "address_2": "STE 238",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802331658",
            "telephone_number": "401-525-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3879 E 120TH AVE",
            "address_2": "STE 238",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802331658",
            "telephone_number": "401-525-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVAN G LEWIS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KEVAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-525-8084",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CO",
            "license": "DR-45901",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CO",
            "license": "DR-45901",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Dermatopathology",
            "state": "CO",
            "license": "DR-45901",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "CO",
            "license": "DR-45901",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CO",
            "license": "DR-45901",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CO",
            "license": "DR-45901",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Dermatopathology",
            "state": "CO",
            "license": "DR-45901",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Lynn Kent
• Philip Jeffrey Keppeler, M.D.
• Stephanie Keran
• Joel D. Kertzer, PT
• Jennifer Jo Keto, DNP-FNP
• Qaisar M Khan, M.D.
• Mariah Khoury
• Maryem Kianinejad, NP
• Ghennet Kidane, PHARMACIST
• Kids & Family Dentistry & Orthodontics

• Dermatology Physician in Thornton, CO
• Providers in Thornton, CO by specialty
• Dermatology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.