Organization Active NPI

Ryan Lewis, DMD, PLLC

  • Prosthodontics
  • Longmont, CO
National Provider Identifier
1124531975
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
Legal business name
RYAN LEWIS, DMD, PLLC
Practice address
1325 Hover St Ste 103
Longmont, CO 80501-3137
Phone
(270) 293-9194
NPI assigned
Nov 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Authorized official

Name
Dr. Ryan Charles Lewis, DMD
Title
Owner
Phone
(270) 293-9194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0700X Primary

Addresses

Primary practice location

1325 Hover St Ste 103
Longmont, CO 80501-3137

Mailing address

1325 Hover St Ste 103
Longmont, CO 80501-3137
Phone (270) 293-9194

National Provider Directory

National Provider Directory

Locations

1325 Hover St
Ste 103
Longmont, CO 80501
Phone (270) 293-9194

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1124531975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 HOVER ST STE 103",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013137",
            "telephone_number": "270-293-9194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 HOVER ST STE 103",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013137",
            "telephone_number": "270-293-9194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN LEWIS, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-293-9194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.