Individual provider Active NPI

Tonie Lewis, DDS

  • General Practice Dentistry
  • Allen, TX
National Provider Identifier
1649368077
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22603 Issued in TX
Practice address
1420 W Exchange Pkwy Ste 170
Allen, TX 75013-4772
Phone
(972) 954-9728
Fax
(469) 212-1376
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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 22603 TX Primary

Addresses

Primary practice location

1420 W Exchange Pkwy Ste 170
Allen, TX 75013-4772

Mailing address

1420 W Exchange Pkwy Ste 170
Allen, TX 75013-4772
Phone (972) 954-9728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20160721001278 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5799078226

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22603TXMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
Network Provider Associates, P.C. General Practice Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1649368077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W EXCHANGE PKWY STE 170",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134772",
            "telephone_number": "972-954-9728",
            "fax_number": "469-212-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W EXCHANGE PKWY STE 170",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750134772",
            "telephone_number": "972-954-9728",
            "fax_number": "469-212-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "TONIE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.