Jean a. Lewis DMD, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D9804 Issued in OR

Legal business name

JEAN A. LEWIS DMD, PC

Practice address

1245 SE 3Rd St Ste A1
Bend, OR 97702-2162

Phone

(520) 490-5743

NPI assigned

May 15, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jean A. Lewis, DMD

Title

President

Phone

(520) 490-5743

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1242345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1306071667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 SE 3RD ST STE A1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022162",
            "telephone_number": "520-490-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 SE 3RD ST STE A1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977022162",
            "telephone_number": "520-490-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEAN A. LEWIS DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-15",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-490-5743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D9804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared R. Anderson, DDS, PC
• Katie Jarrett, BA
• Jason Holtman DDS LLC
• Jose Luis Javier, DDS
• Alexandra Jay, FNTP, RWP, CGP
• Kestrel Jean
• Jeanne Young DC PC
• Kara Joan Jeffas, PMHNP
• Jeffrey a. Jones, O.D. LLC
• Jeffrey T Craig, DC, PC

• Pediatric Dentistry in Bend, OR
• Providers in Bend, OR by specialty
• Pediatric Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.