Benjamin Lewis IV, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

LAC-010013 Issued in AZ

Practice address

2121 S Mill Ave Ste 223
Tempe, AZ 85282-2138

Phone

(813) 310-3569

NPI assigned

Jun 25, 2019

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

Not listed in the public Medicare enrollment file

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.

• Optimal Royal Living

  • Acupuncturist
  • Tempe, AZ
  • NPI 1467250415
  NPD Authorized official
• Daisy Family Health, LLC

  • Clinic/Center
  • Phoenix, AZ
  • NPI 1023657772
  NPD (past)
• Maa Wellness Center

  • Nutrition Education Nutritionist
  • Phoenix, AZ
  • NPI 1366094393

  Acupuncturist

  NPD (past)

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1447811963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 W DORA ST APT 203",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852016045",
            "telephone_number": "813-310-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 S MILL AVE STE 223",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822138",
            "telephone_number": "813-310-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "name_suffix": "IV",
        "credential": "L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-010013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Bernard Levin, D.M.D.
• Jonathan James Levine, DC, THERAPY PROVIDER
• Alexis Levy
• Samantha Levy, NMD
• Candace Lew, MD
• Christia J. Lewis, LPC
• David G Lewis, DDS
• Jeremy Shane Lewis, ATC
• Katie Lynn Lewis
• Kelly Lynn Lewis, LMSW

• Acupuncturist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.