Kevin Edward Lew, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

48634 Issued in CA

Practice address

321 North Larchmont Blvd.
Suite 617
Los Angeles, CA 90004

Phone

(323) 465-6451

Fax

(323) 465-6446

NPI assigned

Aug 4, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Kevin E. Lew, DDS, MD, PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Austin, TX
  • NPI 1629703509
  NPD Authorized official
• Kevin E. Lew, DDS, MD, Inc.

  • Dental Clinic/Center
  • Los Angeles, CA
  • NPI 1609048867
  NPD (past) Authorized official
• Peter Balacky Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Los Angeles, CA
  • NPI 1871212738
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1386652337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 NORTH LARCHMONT BLVD.",
            "address_2": "SUITE 617",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90004",
            "telephone_number": "323-465-6451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 NORTH LARCHMONT BLVD.",
            "address_2": "SUITE 617",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90004",
            "telephone_number": "323-465-6451",
            "fax_number": "323-465-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "KEVIN",
        "middle_name": "EDWARD",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "48634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Jonathan Lew
• Edward Lew, D.M.D
• Hayley Lew
• Jennifer Lew, PHYSICIAN ASSISTANT
• Kevin Lew, MSW
• Kristin Lew, DPT
• Mark Floyd Lew, M.D.
• Michelle Cheung Lew, PHARM.D.
• Shirley Lew
• Wesley Kwan Lew, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.