Individual provider Active NPI

William J Lewis, DDS

  • General Practice Dentistry
  • Syracuse, KS
National Provider Identifier
1619954476
Registry record updated Jul 13, 2026
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Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5567 Issued in KS
Practice address
405 N Main
Syracuse, KS 67878
Phone
(620) 384-5252
Fax
(620) 384-5301
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5567 KS Primary

Addresses

Primary practice location

405 N Main
Syracuse, KS 67878

Mailing address

PO Box 828
Syracuse, KS 67878
Phone (620) 384-5252

Other identifiers 1

IdentifierTypeStateIssuer
8315OtherKSBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20160229002322 KS Order and Referring Only - DentistPractitioner - Dentist 5698070647

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619954476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828",
            "city": "SYRACUSE",
            "state": "KS",
            "postal_code": "67878",
            "telephone_number": "620-384-5252",
            "fax_number": "620-384-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N MAIN",
            "city": "SYRACUSE",
            "state": "KS",
            "postal_code": "67878",
            "telephone_number": "620-384-5252",
            "fax_number": "620-384-5301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8315",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, KS

Sources for this page

Verify at the official NPI Registry.