James Brooke Lewis, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

059506 Issued in NY

Practice address

713 Pierce Rd
Clifton Park, NY 12065-1302

Phone

(518) 373-1181

Fax

(215) 707-0083

NPI assigned

Jun 25, 2014

Last updated

Jan 6, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lewis Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Queensbury, NY
  • NPI 1902445190
  NPD Authorized official
• McDonnell and McMahon Pediatric Dentistry PLLC

  dba The Smile Lodge

  • Pediatric Dentistry
  • Clifton Park, NY
  • NPI 1821486754
  NPD (past)

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1144635467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ERINN CT",
            "city": "WILTON",
            "state": "NY",
            "postal_code": "128312520",
            "telephone_number": "610-420-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 PIERCE RD",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120651302",
            "telephone_number": "518-373-1181",
            "fax_number": "215-707-0083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Aviation Rd",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128042915",
            "country_code": "US",
            "telephone_number": "518-400-0383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JAMES",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "059506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Peter Legakis
• Olivia N Leland
• Anna W Leung, PH.D.
• Aja Levenson, LMSW
• Nancy A Leverone, PA
• Libertas Medical Services PLLC
• Lifesong Inc.
• Lift Chiropractic PLLC
• Kathleen M Lind, ANP
• Susan Little, OTR/L

• Pediatric Dentistry in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.