Roth Rube Harrison Lewis

Primary specialty

DentistTaxonomy code 122300000X

License

9838 Issued in KY

Practice address

3327 Rainview Cir
Louisville, KY 40220-5804

Phone

(302) 332-5375

NPI assigned

Aug 11, 2016

Sex

Male

Sole proprietor

Yes

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

Enrolled in AL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alpha Dental

  • General Practice Dentistry
  • Dothan, AL
  • NPI 1245868827
  NPD Authorized official

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1417401175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3327 RAINVIEW CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402205804",
            "telephone_number": "302-332-5375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 RAINVIEW CIR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402205804",
            "telephone_number": "302-332-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ROTH RUBE",
        "middle_name": "HARRISON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miranda Jean Leilani Lewis, APRN
• Norman V Lewis Jr., MD
• Paul Kenneth Lewis, RPH
• Rebecca Laury Lewis, MD
• Richard Lewis, M.D.
• Sharleeka Lewis
• Summer Renea Lewis, CST,CFA
• Susan Jane Lewis, ARNP, PHD
• Todd F Lewis, O.D.
• Vonnie S Lewis, LPCA

• Dentist in Louisville, KY
• Providers in Louisville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.