Active NPI
Steven Gordon Lewis, DMD
- Prosthodontics
- Fort Mill, SC
National Provider Identifier
1255631214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 6925
- Practice address
- 481 Munn Rd
Suite 100
Fort Mill, SC 29715-8408 - Phone
- (704) 837-4010
- NPI assigned
- Oct 25, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 6925 | SC | Primary |
Addresses
Primary practice location
481 Munn Rd
Suite 100
Fort Mill, SC 29715-8408
Mailing address
481 Munn Rd
Suite 100
Fort Mill, SC 29715-8408
Phone (704) 837-4010
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": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1255631214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "481 MUNN RD",
"address_2": "SUITE 100",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297158408",
"telephone_number": "704-837-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "481 MUNN RD",
"address_2": "SUITE 100",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297158408",
"telephone_number": "704-837-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "STEVEN",
"middle_name": "GORDON",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-25",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "SC",
"license": "6925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.