Brenda Lamb Lewis

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

50073 Issued in CA

Practice address

235 N San Mateo Dr
100
San Mateo, CA 94401-2621

Phone

(650) 348-4030

Fax

(650) 348-7213

NPI assigned

Sep 22, 2006

Sex

Female

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

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.

Opted out of Medicare

Yes, effective Apr 16, 2013 through Apr 16, 2027

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447350277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N SAN MATEO DR",
            "address_2": "100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012621",
            "telephone_number": "650-348-4030",
            "fax_number": "650-348-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N SAN MATEO DR",
            "address_2": "100",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012621",
            "telephone_number": "650-348-4030",
            "fax_number": "650-348-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BRENDA",
        "middle_name": "LAMB",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "50073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lew and Liao a Professional Optometric Corp.
• Justin Lew
• Melodie L. Lew, MFT
• Minjung Yi Lew, O.D.
• Wei Mon Lew, PH.D.
• David Jeremy Lewis, DC
• Alvin Li
• Desiree Li, MD
• Kehan Li, DDS
• Kitsum Li, OTD

• Periodontics in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Periodontics in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.