Christina Latricia Lewis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017597 Issued in MI

Practice address

24293 Telegraph Rd
Suite 212
Southfield, MI 48034-3011

Phone

(248) 223-5639

Fax

(248) 223-5689

NPI assigned

Oct 27, 2006

Last updated

Mar 11, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457654400000",
    "number": "1356427942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24293 TELEGRAPH RD",
            "address_2": "STE 212",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480337903",
            "telephone_number": "734-728-1621",
            "fax_number": "734-722-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24293 TELEGRAPH RD",
            "address_2": "SUITE 212",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480343011",
            "telephone_number": "248-223-5639",
            "fax_number": "248-223-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHRISTINA",
        "middle_name": "LATRICIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2016-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017597",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5835",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "55018",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "4949T",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4093385",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "D800438",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hindy Levine, LPC
• Marjorie Elaine Levine, O.T.R.
• Ronald C Lewinski, RPH
• Aretha Lewis, LLPC
• Ashley Lewis
• Christopher Oneil Lewis
• Darnell Lewis
• Dharele Lewis
• Ericka Samone Lewis
• Franz Lewis, LPN

• General Practice Dentistry in Southfield, MI
• Providers in Southfield, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.