Wanda L Lewis, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17210 Issued in TX

Practice address

3524 N Hampton Rd
Dallas, TX 75212-2442

Phone

(214) 637-4604

Fax

(214) 630-9258

NPI assigned

Jul 30, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Lewis Dental Associates

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1508976614
  NPD (past)
• Lewis Dental Associates

  • General Practice Physician
  • Dallas, TX
  • NPI 1952405276
  NPD (past)

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1366608366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 N HAMPTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752122442",
            "telephone_number": "214-637-4604",
            "fax_number": "214-630-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 N HAMPTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752122442",
            "telephone_number": "214-637-4604",
            "fax_number": "214-630-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "WANDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "17210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009742001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Rucker Lewis Jr., PA-C
• Thornell Lewis
• Tyler Lewis, DC
• Tyrome Lewis, MHPS
• Velissa A Lewis, D.P.M.
• Willita Lewis
• Yvonne Lewis
• Lewisville Anesthesia PLLC
• Leximind Speech Therapy Service
• Katarina Raquel Leyba, MBA, MD

• General Practice Dentistry in Dallas, TX
• Providers in Dallas, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.