Individual provider Active NPI

Joelle Werschky Lewis, D.D.S.

  • General Practice Dentistry
  • Grand Blanc, MI
National Provider Identifier
1225248909
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901019581 Issued in MI
Practice address
5225 E Cook Rd
Grand Blanc, MI 48439-8388
Phone
(810) 695-7120
Fax
(810) 584-7467
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901019581 MI Primary

Addresses

Primary practice location

5225 E Cook Rd
Grand Blanc, MI 48439-8388

Mailing address

5225 E Cook Rd
Grand Blanc, MI 48439-8388
Phone (810) 695-7120

Other names 1

  • Dr. Jori W Lewis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20161012001035 MI Practitioner - Oral Surgery 1355639014 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2901019581MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jay a Werschky DDS PC CurrentSince Sep 26, 2016 Accepting new patients

Locations

5225 E Cook Rd
Grand Blanc, MI 48439
Phone (810) 694-8090

5225 E Cook Rd
Ste N
Grand Blanc, MI 48439
Phone (810) 695-7120

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1225248909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 E COOK RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398388",
            "telephone_number": "810-695-7120",
            "fax_number": "810-584-7467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 E COOK RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398388",
            "telephone_number": "810-695-7120",
            "fax_number": "810-584-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JOELLE",
        "middle_name": "WERSCHKY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901019581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORI",
            "last_name": "LEWIS",
            "middle_name": "W",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.