NPIMap

Organization Active NPI

Justin Lewis DPM LLC

  • Foot & Ankle Surgery Podiatrist
  • Baltimore, MD
National Provider Identifier
1356683007
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
01503 Issued in MD
Legal business name
JUSTIN LEWIS DPM LLC
Practice address
1626 E Fort Ave
Baltimore, MD 21230-5245
Phone
(410) 332-1414
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Dr. Justin James Lewis, DPM
Title
Owner
Phone
(954) 540-9337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 01503 MD Primary

Addresses

Primary practice location

1626 E Fort Ave
Baltimore, MD 21230-5245

Mailing address

1626 E Fort Ave
Baltimore, MD 21230-5245
Phone (410) 332-1414

Other names 1

  • Locust Point Foot and Ankle Doing business as

National Provider Directory

National Provider Directory

Locations

1626 E Fort Ave
Baltimore, MD 21230
Phone (410) 332-1414

Practitioners & affiliated clinicians

Practitioners 1

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": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1356683007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 E FORT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305245",
            "telephone_number": "410-332-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 E FORT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212305245",
            "telephone_number": "410-332-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN LEWIS DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-540-9337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MD",
            "license": "01503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Locust Point Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.