Jasper Lee Lewis Jr., D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

3371 Issued in NC

Practice address

1025 Johns Hopkins Dr
Greenville, NC 27834-7227

Phone

(252) 752-6188

Fax

(252) 752-5728

NPI assigned

Feb 20, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Jasper L. Lewis, Jr., D.D.S., P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Greenville, NC
  • NPI 1134264195

  Pediatric Dentistry

  NPD (past) Authorized official
• Enc Management Services LLC

  • Pediatric Dentistry
  • Greenville, NC
  • NPI 1609640291
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396880258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 JOHNS HOPKINS DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347227",
            "telephone_number": "252-752-6188",
            "fax_number": "252-752-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 JOHNS HOPKINS DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347227",
            "telephone_number": "252-752-6188",
            "fax_number": "252-752-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JASPER",
        "middle_name": "LEE",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "3371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8995253",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "95253",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Briana Lewis, LCSWA
• Ebony Lewis
• Gloria Lewis
• Gregory K Lewis, MD
• James Lewis, RN, QP
• Lindsay Summers Lewis, DO
• Madelyn Lewis
• Melissa O Lewis, PA-C
• Richard Stewart Lewis, M.D.
• Skye Lewis, MA, CCC-SLP

• Pediatric Dentistry in Greenville, NC
• Providers in Greenville, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.