Active NPI
Lewis Hootnick
- Dentist
- Quincy, MA
National Provider Identifier
1154475416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 14522
- Practice address
- 66 Mayor McGrath Highway
Quincy, MA 02169 - Phone
- (617) 472-1036
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14522 | MA | Primary |
Addresses
Primary practice location
66 Mayor McGrath Highway
Quincy, MA 02169
Mailing address
66 Mayor McGrath Highway
Quincy, MA 02169
Phone (617) 472-1036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14522 | MA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Associates | Dentist | Past | Accepting new patients |
| Quincy Dental Associates LLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Quincy, MA
- NPI 1275687592
-
- Dentist
- Quincy, MA
- NPI 1467868554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154475416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 MAYOR MCGRATH HIGHWAY",
"city": "QUINCY",
"state": "MA",
"postal_code": "02169",
"telephone_number": "617-472-1036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66 MAYOR MCGRATH HIGHWAY",
"city": "QUINCY",
"state": "MA",
"postal_code": "02169",
"telephone_number": "617-472-1036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOOTNICK",
"first_name": "LEWIS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MA",
"license": "14522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.