Lori Hewitt, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

45020 Issued in CA

Practice address

14623 Hawthorne Blvd
107
Lawndale, CA 90260-1581

Phone

(310) 579-3171

Fax

(310) 679-2306

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356566921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14623 HAWTHORNE BLVD",
            "address_2": "107",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601581",
            "telephone_number": "310-579-3171",
            "fax_number": "310-679-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14623 HAWTHORNE BLVD",
            "address_2": "107",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601581",
            "telephone_number": "310-579-3171",
            "fax_number": "310-679-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEWITT",
        "first_name": "LORI",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clotee H Henderson Mitchell
• Iana Hendrickson-Slack
• Daicy Hernandez Castillo
• Yvette Hernandez-Diaz, PPS
• Gabriel Hernandez
• Nicole Hill, BCBA
• Huy Quang Hoang, M.D.
• Rosario I Holland, DDS
• Jovantae Holloway
• Angela Holmes, AOD COUNSELOR

• General Practice Dentistry in Lawndale, CA
• Providers in Lawndale, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.