Andre Leon Lewis, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN19366 Issued in FL

Practice address

1882 59TH St W
Bradenton, FL 34209-4630

Phone

(941) 792-9392

NPI assigned

Aug 24, 2007

Last updated

Nov 4, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1427241223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1882 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094630",
            "telephone_number": "941-792-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 59TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342094630",
            "telephone_number": "941-792-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "ANDRE",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-24",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401411952",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN19366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nestor Levesque, LMHC
• Gabrielle Levy
• Megan Levy, DO
• Rochelle Levy, APRN
• Audrey A Lewerenz-Walsh, DO
• Carol Virginia Lewis, ARNP
• Karl Dwan Lewis, D.M.D.
• Laura Dione Lewis, LCSW
• Mark Christopher Lewis, D.C.
• Michael L Lewis, MD

• Pediatric Dentistry in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.