Organization Active NPI

Mark P. Lewis, DDS, Inc

  • Dental Clinic/Center
  • Redding, CA
National Provider Identifier
1578160339
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARK P. LEWIS, DDS, INC
Practice address
3855 Churn Creek Rd
Redding, CA 96002-3229
Phone
(530) 243-9425
NPI assigned
Oct 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Mark P Lewis, DDSNPI 1306127915
Title
President
Phone
(530) 243-9425

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3855 Churn Creek Rd
Redding, CA 96002-3229

Mailing address

3855 Churn Creek Rd
Redding, CA 96002-3229
Phone (530) 243-9425

National Provider Directory

National Provider Directory

Locations

3855 Churn Creek Rd
Redding, CA 96002
Phone (530) 223-4648

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1578160339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 CHURN CREEK RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960023229",
            "telephone_number": "530-243-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 CHURN CREEK RD",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960023229",
            "telephone_number": "530-243-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK P. LEWIS, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-243-9425",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.