Active NPI
Marty A. Lewis, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Grand Island, NE
National Provider Identifier
1568467736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 5664
- Practice address
- 530 N Diers Ave
Grand Island, NE 68803-4964 - Phone
- (308) 381-8150
- Fax
- (308) 381-1183
- NPI assigned
- Jun 15, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 5664 | NE | Primary |
Addresses
Primary practice location
530 N Diers Ave
Grand Island, NE 68803-4964
Mailing address
PO Box 5821
Grand Island, NE 68802-5821
Phone (308) 381-8150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5664 | NE | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1568467736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5821",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688025821",
"telephone_number": "308-381-8150",
"fax_number": "308-381-1183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 N DIERS AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034964",
"telephone_number": "308-381-8150",
"fax_number": "308-381-1183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MARTY",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NE",
"license": "5664",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.