Individual provider Active NPI

Andrew D Lewis, D.D.S.

  • General Practice Dentistry
  • Topeka, KS
National Provider Identifier
1164770376
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D008970 Issued in AZ
Practice address
1017 SW Gage Blvd Ste C
Topeka, KS 66604-1991
Phone
(785) 272-3864
Fax
(785) 272-3151
NPI assigned
Aug 20, 2012
Last updated
Nov 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D008970 AZ Primary
General Practice Dentistry 1223G0001X 6441 OK

Addresses

Primary practice location

1017 SW Gage Blvd Ste C
Topeka, KS 66604-1991

Mailing address

1017 SW Gage Blvd Ste C
Topeka, KS 66604-1991
Phone (785) 272-3864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151002002143 AZ Order and Referring Only - DentistPractitioner - Dentist 0244548774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6441OKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alew Dental LLC CurrentSince Nov 16, 2021 Accepting new patients

Locations

1017 SW Gage Blvd
Ste C
Topeka, KS 66604
Phone (785) 272-3864

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1164770376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 SW GAGE BLVD STE C",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041991",
            "telephone_number": "785-272-3864",
            "fax_number": "785-272-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 SW GAGE BLVD STE C",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041991",
            "telephone_number": "785-272-3864",
            "fax_number": "785-272-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ANDREW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-20",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D008970",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "6441",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.