Organization Active NPI

Lewis Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Edmond, OK
National Provider Identifier
1588838403
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
157 Issued in OK
Legal business name
LEWIS ORTHODONTICS
Practice address
2900 N Kelly Ave
Edmond, OK 73003-3233
Phone
(405) 330-5095
Fax
(405) 330-9945
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Dr. Shannon M. Lewis, DDS, MSNPI 1891797692
Title
Doctor
Phone
(405) 330-5095

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 157 OK Primary

Addresses

Primary practice location

2900 N Kelly Ave
Edmond, OK 73003-3233

Mailing address

2900 N Kelly Ave
Edmond, OK 73003-3233
Phone (405) 330-5095

National Provider Directory

National Provider Directory

Locations

2900 N Kelly Ave
Edmond, OK 73003
Phone (405) 330-5095

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": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1588838403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033233",
            "telephone_number": "405-330-5095",
            "fax_number": "405-330-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N KELLY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730033233",
            "telephone_number": "405-330-5095",
            "fax_number": "405-330-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "405-330-5095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "OK",
            "license": "157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.