NPIMap

Organization Active NPI

DRS. Marc Lewis & Thomas Niederhelman LLC

  • General Practice Dentistry
  • Dayton, OH
National Provider Identifier
1518090661
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21427 Issued in OH
Legal business name
DRS. MARC LEWIS & THOMAS NIEDERHELMAN LLC
Practice address
8459 N Main St
Dayton, OH 45415-1379
Phone
(937) 890-1102
Fax
(937) 264-9550
NPI assigned
Mar 14, 2007
Last updated
Mar 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Marc Lewis, DDS
Title
President
Phone
(937) 890-1102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 21427 OH Primary

Addresses

Primary practice location

8459 N Main St
Dayton, OH 45415-1379

Mailing address

8459 N Main St
Dayton, OH 45415-1379
Phone (937) 890-1102

Other identifiers 1

IdentifierTypeStateIssuer
2703293MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
DRS Marc Lewis Thomas Niederhelman LLC2 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

8459 N Main St
Dayton, OH 45415
Phone (937) 890-1102

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1518090661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8459 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151379",
            "telephone_number": "937-890-1102",
            "fax_number": "937-264-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8459 N MAIN ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454151379",
            "telephone_number": "937-890-1102",
            "fax_number": "937-264-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. MARC LEWIS & THOMAS NIEDERHELMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-890-1102",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "21427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2703293",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.