Organization Active NPI

Paradigm Dental Solutions, Inc.

  • Dentist
  • Broken Arrow, OK
National Provider Identifier
1568734622
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4256 Issued in OK
Legal business name
PARADIGM DENTAL SOLUTIONS, INC.
Practice address
2221 W Washington St
Broken Arrow, OK 74012-6726
Phone
(918) 893-2400
Fax
(918) 893-2444
NPI assigned
Feb 6, 2012
Last updated
Feb 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Dr. Earnest Lee Lewis, DDS
Title
Doctor
Phone
(918) 893-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4256 OK Primary

Addresses

Primary practice location

2221 W Washington St
Broken Arrow, OK 74012-6726

Mailing address

2221 W Washington St
Broken Arrow, OK 74012-6726
Phone (918) 893-2400

Other names 1

  • EARNEST L. LEWIS,DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

2221 W Washington St
Broken Arrow, OK 74012
Phone (918) 455-6406

NPI Registry JSON

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

{
    "created_epoch": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1568734622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 W WASHINGTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126726",
            "telephone_number": "918-893-2400",
            "fax_number": "918-893-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 W WASHINGTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126726",
            "telephone_number": "918-893-2400",
            "fax_number": "918-893-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM DENTAL SOLUTIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "EARNEST",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "918-893-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "4256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EARNEST L. LEWIS,DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; 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.