John Alban Lewis Jr., DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2880 Issued in WI

Practice address

480 Central Ave
Building 1750
Pearl Harbor, HI 96860-4908

Phone

(808) 471-5171

Fax

(808) 471-1855

NPI assigned

Sep 26, 2005

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

State licenses

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1417943457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MAKALAPA DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968183155",
            "telephone_number": "808-423-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE",
            "address_2": "BUILDING 1750",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-471-5171",
            "fax_number": "808-471-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JOHN",
        "middle_name": "ALBAN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "2880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lon Eric Lebato, LPN
• Chad Lee
• Dong Yeob Lee
• John J Lee, DDS
• Colin Patrick Lentz, DDS
• Sarah Diane Lewis, R.N.
• Susie Cabotaje Lidge, LPN
• Jeffrey M Lin, MD, MPH
• Angelia M Lindsey, LPN
• Sonia Bautista Lipka, RN

• General Practice Dentistry in Pearl Harbor, HI
• Providers in Pearl Harbor, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.