NPIMap

Organization Active NPI

Lewis and Associates, DDS, PC

Doing business as Southern Dental Associates - Palm Center

  • Dentist
  • Houston, TX
National Provider Identifier
1144236506
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9517 Issued in TX
Legal business name
LEWIS AND ASSOCIATES, DDS, PC
Doing business as
Southern Dental Associates - Palm Center
Practice address
5703 Martin Luther King Jr Blvd
Houston, TX 77021-3224
Phone
(713) 644-6594
Fax
(713) 644-1477
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Dr. David D. Lewis, DDS
Title
President
Phone
(713) 681-7920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9517 TX Primary

Addresses

Primary practice location

5703 Martin Luther King Jr Blvd
Houston, TX 77021-3224

Mailing address

2500 Central Pkwy
Suite P
Houston, TX 77092-7733
Phone (713) 681-7920

Other identifiers 1

IdentifierTypeStateIssuer
136359004MedicaidTX

Other names 1

  • Southern Dental Associates - Palm Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lewis and Associates DDS PC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1144236506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CENTRAL PKWY",
            "address_2": "SUITE P",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770927733",
            "telephone_number": "713-681-7920",
            "fax_number": "713-263-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5703 MARTIN LUTHER KING JR BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770213224",
            "telephone_number": "713-644-6594",
            "fax_number": "713-644-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS AND ASSOCIATES, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-681-7920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "9517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136359004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Dental Associates - Palm Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.