Organization Active NPI

Lewis Dental Associates

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1508976614
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LEWIS DENTAL ASSOCIATES
Practice address
3524 N Hampton Rd
Dallas, TX 75212-2442
Phone
(214) 637-4604
Fax
(214) 630-9258
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Ms. Osherra D Davis, DDS
Title
Office Manager
Phone
(214) 637-4604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3524 N Hampton Rd
Dallas, TX 75212-2442

Mailing address

3524 N Hampton Rd
Dallas, TX 75212-2442
Phone (214) 637-4604

Other identifiers 1

IdentifierTypeStateIssuer
009742001MedicaidTX

National Provider Directory

National Provider Directory
Tax ID family
Lewis Dental Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3524 N Hampton Rd
Dallas, TX 75212
Phone (214) 637-4604

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1508976614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 N HAMPTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752122442",
            "telephone_number": "214-637-4604",
            "fax_number": "214-630-9258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3524 N HAMPTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752122442",
            "telephone_number": "214-637-4604",
            "fax_number": "214-630-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "OSHERRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "214-637-4604",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009742001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.