Active NPI
Lewis & Hawn Excellence in Dentistry PLLC
- General Practice Dentistry
- Sandpoint, ID
National Provider Identifier
1548434459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- LEWIS & HAWN EXCELLENCE IN DENTISTRY PLLC
- Practice address
- 2025 Pine St
Sandpoint, ID 83864-9327 - Phone
- (208) 265-4558
- NPI assigned
- Apr 22, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark W Hawn, DDS
- Title
- President
- Phone
- (208) 265-4558
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary | ||
| Customized Equipment (DME) | 332BC3200X |
Addresses
Primary practice location
2025 Pine St
Sandpoint, ID 83864-9327
Mailing address
2025 Pine St
Sandpoint, ID 83864-9327
Phone (208) 265-4558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231207001403 | ID | DME Supplier - Oral Surgery - Dentist | 3072962745 | Practice locations: Sandpoint, ID |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Sandpoint, ID
- NPI 1457580763
-
- General Practice Dentistry
- Sandpoint, ID
- NPI 1487874293
-
- General Practice Dentistry
- Sandpoint, ID
- NPI 1306066014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693872000000",
"number": "1548434459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 PINE ST",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838649327",
"telephone_number": "208-265-4558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 PINE ST",
"city": "SANDPOINT",
"state": "ID",
"postal_code": "838649327",
"telephone_number": "208-265-4558"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEWIS & HAWN EXCELLENCE IN DENTISTRY PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-22",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A",
"authorized_official_last_name": "HAWN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-265-4558",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandpoint, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.