Active NPI
Tiffany Thao Lee Lewis, DDS
- General Practice Dentistry
- Oklahoma City, OK
National Provider Identifier
1366793044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 6399
- Practice address
- 4023 NW 10TH St
Oklahoma City, OK 73107-6038 - Phone
- (405) 632-6688
- NPI assigned
- Sep 21, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6399 | OK | Primary |
Addresses
Primary practice location
4023 NW 10TH St
Oklahoma City, OK 73107-6038
Mailing address
2212 Waterford LN
Yukon, OK 73099-4604
Phone (405) 308-1657
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- tlewis376428@direct.ochin.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1366793044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2212 WATERFORD LN",
"city": "YUKON",
"state": "OK",
"postal_code": "730994604",
"telephone_number": "405-308-1657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4023 NW 10TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731076038",
"telephone_number": "405-632-6688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "TIFFANY",
"middle_name": "THAO LEE",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-21",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OK",
"license": "6399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.