Active NPI
Daniel J Lewis
- Day Training/Habilitation Specialist
- Bangor, ME
National Provider Identifier
1578892139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- License
- ALLS 3512
- Practice address
- 223 Silver Rd
Bangor, ME 04401-5831 - Phone
- (207) 942-4186
- NPI assigned
- Dec 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | ALLS 3512 | ME | Primary |
Addresses
Primary practice location
223 Silver Rd
Bangor, ME 04401-5831
Mailing address
223 Silver Rd
Bangor, ME 04401-5831
Phone (207) 942-4186
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202310000 | Medicaid | ME |
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 |
|---|---|---|---|
| ALLS 3512 | ME | MD | Day Training/Habilitation Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260403200000",
"number": "1578892139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "223 SILVER RD",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015831",
"telephone_number": "207-942-4186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 SILVER RD",
"city": "BANGOR",
"state": "ME",
"postal_code": "044015831",
"telephone_number": "207-942-4186"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "DANIEL",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-10",
"last_updated": "2009-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "ME",
"license": "ALLS 3512",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "202310000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.