Paul Robert Lewis, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4338 Issued in AR

Practice address

591 S Horsebarn Rd
Rogers, AR 72758-8710

Phone

(479) 636-3979

Fax

(479) 636-0800

NPI assigned

May 6, 2014

Last updated

Jul 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 25, 2025 through Jul 25, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ozark Oral & Maxillofacial Surgery, PA

  • Oral and Maxillofacial Surgery (Dentist)
  • Rogers, AR
  • NPI 1588775449
  NPD (past)
• Ozark Oral Surgery Group, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Rogers, AR
  • NPI 1548635048
  NPD (past)

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1376953737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 S HORSEBARN RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588710",
            "telephone_number": "479-636-3979",
            "fax_number": "479-636-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 S HORSEBARN RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588710",
            "telephone_number": "479-636-3979",
            "fax_number": "479-636-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 19th St S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331900",
            "country_code": "US",
            "telephone_number": "205-934-4345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "PAUL",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-06",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AR",
            "license": "4338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Carestream",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "591 S Horsebarn Rd",
            "city": "Rogers",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727588710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kristen Lepage, ND
• Carol B Lester
• Christopher Ashton Lewis, D.C.
• Jessica Lewis, PT, DPT
• Kimberly Ann Lewis, LMSW
• Robert H Lewis, DDS
• Zoey L Lewis
• Twyla Licatino
• Life Strategies Counseling, Inc.
• Life Strategies Counseling, Inc. (Life Counseling)

• Oral and Maxillofacial Surgery (Dentist) in Rogers, AR
• Providers in Rogers, AR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.