Active NPI
Martha L Lewis, D.M.D.
- Dentist
- Utica, MS
National Provider Identifier
1174833396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2559-90
- Practice address
- 105 Main Street E
Utica, MS 39175 - Phone
- (601) 885-8537
- Fax
- (601) 885-8539
- NPI assigned
- Oct 21, 2010
- Sex
- Female
- 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 | 2559-90 | MS | Primary |
Addresses
Primary practice location
105 Main Street E
Utica, MS 39175
Mailing address
315 Morrison Drive
Clinton, MS 39058
Phone (601) 925-5163
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 |
|---|---|---|---|
| 2559-90 | MS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1174833396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 MORRISON DRIVE",
"city": "CLINTON",
"state": "MS",
"postal_code": "39058",
"telephone_number": "601-925-5163",
"fax_number": "601-925-5184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MAIN STREET E",
"city": "UTICA",
"state": "MS",
"postal_code": "39175",
"telephone_number": "601-885-8537",
"fax_number": "601-885-8539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MARTHA",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-21",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "2559-90",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Utica, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.