Individual provider Active NPI

Michael K Lewis, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Monterey, CA
National Provider Identifier
1134242514
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
29774 Issued in CA
Practice address
337 El Dorado St
Suite 3a
Monterey, CA 93940-4647
Phone
(831) 373-2967
Fax
(831) 373-3513
NPI assigned
Apr 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 29774 CA Primary

Addresses

Primary practice location

337 El Dorado St
Suite 3a
Monterey, CA 93940-4647

Mailing address

337 El Dorado St
Suite 3a
Monterey, CA 93940-4647
Phone (831) 373-2967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 10, 2013 through Oct 10, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michael K Lewis, DDS, Inc & Ryan R Lloyd, DMD, Inc-a Partnership Oral and Maxillofacial Surgery PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1134242514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 EL DORADO ST",
            "address_2": "SUITE 3A",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404647",
            "telephone_number": "831-373-2967",
            "fax_number": "831-373-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 EL DORADO ST",
            "address_2": "SUITE 3A",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404647",
            "telephone_number": "831-373-2967",
            "fax_number": "831-373-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MICHAEL",
        "middle_name": "K",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "29774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.