Lewis Family Dentistry, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

12008646 Issued in IN

Legal business name

LEWIS FAMILY DENTISTRY, LLC

Practice address

2401 E Broadway
Logansport, IN 46947-2056

Phone

(574) 722-3107

Fax

(574) 722-1080

NPI assigned

Oct 27, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Jay Lewis, DDSNPI 1659415081

Title

Sole Member

Phone

(574) 722-3107

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay V Lewis, D.D.S.

  • Dentist
  • Logansport, IN
  • NPI 1659415081
  NPD (past) Authorized official

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1487106282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E BROADWAY",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469472056",
            "telephone_number": "574-722-3107",
            "fax_number": "574-722-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 E BROADWAY",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469472056",
            "telephone_number": "574-722-3107",
            "fax_number": "574-722-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "574-722-3107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IN",
            "license": "12008646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Layton, RBT
• Doris Elizabeth Leblanc, M.D.
• Cynthia Sue Lees, BS
• Karlin Lehmansalyer, RN
• Stephanie Lynn Lewellen, PT
• Jay V Lewis, D.D.S.
• Mary B. Lewis, N.P.
• Michael S Liebner, MD
• Stathia Lineback, LPN
• Little Helper Home Care, LLC

• Dental Clinic/Center in Logansport, IN
• Providers in Logansport, IN by specialty
• Dental Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.