Jack Dennis Lewis, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

27162 Issued in CA

Practice address

1770 E Lambert Rd
#220
Brea, CA 92821-8005

Phone

(714) 990-8891

Fax

(714) 990-1649

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• J Dennis Lewis Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• J Dennis Lewis DDS PC

  • Dentist
  • Brea, CA
  • NPI 1043385107
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260921600000",
    "number": "1568470433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 E LAMBERT RD",
            "address_2": "#220",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928218005",
            "telephone_number": "714-990-8891",
            "fax_number": "714-990-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 E LAMBERT RD",
            "address_2": "#220",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928218005",
            "telephone_number": "714-990-8891",
            "fax_number": "714-990-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "JACK",
        "middle_name": "DENNIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2009-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "27162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J",
            "last_name": "LEWIS",
            "middle_name": "DENNIS",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chanel Leibsohn, PSYD
• Lena S Debaz DMD Dental Practice (Energetic Smile)
• Lenarra Therapy, a Professional Clinical Social Worker Corporation
• Travis William Leong, PT, DPT
• Kirsten Michelle Leptich, RN
• Lisa D Lewis, PHD, LMFT
• Pamela Jean Lewis, LMFT #84275
• Paulynne P Liang, MD
• Kevin Liao, D.O.
• Chiangyuan Chuck Liau, M.D..

• Dentist in Brea, CA
• Providers in Brea, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.