Jonathan Brooke Lewis, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0278182 Issued in PA

Practice address

103 E. Main St.
Silverdale, PA 18962

Phone

(215) 257-1100

NPI assigned

May 4, 2007

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518179340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SCHULTZ RD",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189602952",
            "telephone_number": "215-257-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 E. MAIN ST.",
            "city": "SILVERDALE",
            "state": "PA",
            "postal_code": "18962",
            "telephone_number": "215-257-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JONATHAN",
        "middle_name": "BROOKE",
        "name_prefix": "Mr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS0278182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Broschart-Smith, CRNP
• Polly James, CRNP
• Kim Kuhar D O Internal Medicine P C
• Kim P Kuhar
• Brigham Eric Lewis, DMD
• Niccole M Oswald, MD
• Christen Lorraine Sauers, D.D.S.
• St Luke'S Physician Group Inc
• Valerie Trumbower
• Melissa Anne Wagner, CRNP

• General Practice Dentistry in Silverdale, PA
• Providers in Silverdale, PA by specialty
• General Practice Dentistry in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.