Individual provider Active NPI

Thomas Michael Lewis, D.D.S.

  • General Practice Dentistry
  • Edinburg, TX
National Provider Identifier
1245660901
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
63124 Issued in CA
Practice address
307 E University Dr
Edinburg, TX 78539
Phone
(956) 380-2482
NPI assigned
Nov 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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 63124 CA Primary

Addresses

Primary practice location

307 E University Dr
Edinburg, TX 78539

Mailing address

8116 N 19TH St
McAllen, TX 78504-5707
Phone (510) 313-3917

Other practice location 1

38056 Martha Ave
Fremont, CA 94536-3809
Phone (510) 313-3917

Other practice location 2

38056 Martha Ave
Fremont, CA 94536-3809
Phone (510) 313-3917

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

NPI Registry JSON

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

{
    "created_epoch": "1384560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567987200000",
    "number": "1245660901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8116 N 19TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785045707",
            "telephone_number": "510-313-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E UNIVERSITY DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-380-2482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38056 Martha Ave",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945363809",
            "country_code": "US",
            "telephone_number": "510-313-3917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "38056 Martha Ave",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945363809",
            "country_code": "US",
            "telephone_number": "510-313-3917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-16",
        "last_updated": "2019-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; 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.