NPIMap

Organization Active NPI

Garry L. Lewis DDS Inc.

  • General Practice Dentistry
  • Moundsville, WV
National Provider Identifier
1386665800
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2368 Issued in WV
Legal business name
GARRY L. LEWIS DDS INC.
Practice address
807 5TH St
Moundsville, WV 26041-1907
Phone
(304) 845-5651
Fax
(304) 845-5707
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Garry L. Lewis, DDSNPI 1871536029
Title
President
Phone
(304) 845-5651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2368 WV Primary

Addresses

Primary practice location

807 5TH St
Moundsville, WV 26041-1907

Mailing address

807 5TH St
Moundsville, WV 26041-1907
Phone (304) 845-5651

National Provider Directory

National Provider Directory

Locations

807 5th St
Moundsville, WV 26041
Phone (304) 845-5651

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386665800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 5TH ST",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260411907",
            "telephone_number": "304-845-5651",
            "fax_number": "304-845-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 5TH ST",
            "city": "MOUNDSVILLE",
            "state": "WV",
            "postal_code": "260411907",
            "telephone_number": "304-845-5651",
            "fax_number": "304-845-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRY L. LEWIS DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "GARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-845-5651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moundsville, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.