NPIMap

Organization Active NPI

Lewis, Dine and Associates, P.a.

  • General Practice Dentistry
  • Fayetteville, NC
National Provider Identifier
1336317692
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LEWIS, DINE AND ASSOCIATES, P.A.
Practice address
4140 Ramsey St Ste 104
Fayetteville, NC 28311-7658
Phone
(910) 488-0518
Fax
(910) 630-2432
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Authorized official

Name
Dr. Kenneth Boyd Lewis, DDSNPI 1023097870
Title
Dentist
Phone
(910) 488-0518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5029 NC
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4140 Ramsey St Ste 104
Fayetteville, NC 28311-7658

Mailing address

4140 Ramsey St
Suite 104
Fayetteville, NC 28311-7672
Phone (910) 488-0518

Other names 2

  • Lewis Family Dentistry Doing business as
  • Kenneth B. Lewis, DDS, P.A. Former legal business name

National Provider Directory

National Provider Directory

Locations

4140 Ramsey St
Ste 104
Fayetteville, NC 28311
Phone (910) 488-0518

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1336317692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 RAMSEY ST",
            "address_2": "SUITE 104",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117672",
            "telephone_number": "910-488-0518",
            "fax_number": "910-630-2432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 RAMSEY ST STE 104",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283117658",
            "telephone_number": "910-488-0518",
            "fax_number": "910-630-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS, DINE AND ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "BOYD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "910-488-0518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "5029",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewis Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kenneth B. Lewis, DDS, P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.