Lew B. Sample, DMD, Ms, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LEW B. SAMPLE, DMD, MS, PC

Practice address

2014 Danville Park Dr SW
Decatur, AL 35603-1832

Phone

(256) 355-5255

Fax

(256) 355-8183

NPI assigned

Sep 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Llewellyn Bain Sample, DMD

Title

President

Phone

(256) 355-5255

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lew B. Sample, DMD, MS, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Decatur, AL
  • NPI 1306969514
  NPD

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1164192803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 DANVILLE PARK DR SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031832",
            "telephone_number": "256-355-5255",
            "fax_number": "256-355-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 DANVILLE PARK DR SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031832",
            "telephone_number": "256-355-5255",
            "fax_number": "256-355-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEW B. SAMPLE, DMD, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "SAMPLE",
        "authorized_official_first_name": "LLEWELLYN",
        "authorized_official_middle_name": "BAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-355-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Decatur, AL
• Providers in Decatur, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.