Mark P Lewis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60276 Issued in CA

Practice address

3855 Churn Creek Rd
Redding, CA 96002-3229

Phone

(530) 243-9425

NPI assigned

Sep 9, 2011

Last updated

Oct 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mark P. Lewis, DDS, Inc

  • Dental Clinic/Center
  • Redding, CA
  • NPI 1578160339
  NPD Authorized official
• John S. Sutherland DDS ,Inc

  dba John S. Sutherland DDS

  • General Practice Dentistry
  • Redding, CA
  • NPI 1477118503
  NPD (past)

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

{
    "created_epoch": "1315526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1306127915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 WEST D. L. INGRAM AVENUE",
            "city": "CANNON AFB",
            "state": "NM",
            "postal_code": "881035522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 CHURN CREEK RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960023229",
            "telephone_number": "530-243-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARK",
        "middle_name": "P",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-09",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "60276",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leveling Up Licensed Marriage and Family Therapy Inc
• Tara Levin
• Ann Levings, RN, LAC
• Claudia Lewis, RDH
• Dustin James Lewis, FNP
• Michael Lewis
• Natalie Lewis
• Rebecca Lewis, FNP
• LHCG Xxxviii, LLC (Assured Home Health)
• Li Min Hou, DDS, a Professional Corporation

• General Practice Dentistry in Redding, CA
• Providers in Redding, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.