Amanda Lewis Enterprises LTD

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

AMANDA LEWIS ENTERPRISES LTD

Practice address

3250 N Woodford St
Decatur, IL 62526-2836

Phone

(217) 877-1742

NPI assigned

Apr 6, 2018

Last updated

Apr 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda LewisNPI 1427091842

Title

Owner

Phone

(217) 877-1742

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Jane Lewis, D.M.D.

  • Dentist
  • Decatur, IL
  • NPI 1427091842
  NPD (past) Authorized official
• Mary K Booth, DDS

  • Dentist
  • Decatur, IL
  • NPI 1629205554
  NPD (past)

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1376040451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 N WOODFORD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262836",
            "telephone_number": "217-877-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 N WOODFORD ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262836",
            "telephone_number": "217-877-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA LEWIS ENTERPRISES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-877-1742"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpha Omega Consulting, Inc. (Southside Manor)
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• Kathryn Altherr, FNP-BC
• Efrain Alvarado Vargas
• Phillip D Alward, M.D.
• Anthony Oria Amiewalan I, MD FACOG
• Melinda Sue Amos, RPH
• Anas Anas Sohail, M.D.
• Anderson and Odunsi, MD LLC
• Amber Michele Anderson, M.D.

• Customized Equipment (DME) in Decatur, IL
• Providers in Decatur, IL by specialty
• Customized Equipment (DME) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.