Individual provider Active NPI

Georgeana Lewis, DMD

  • General Practice Dentistry
  • North Miami Beach, FL
National Provider Identifier
1669665956
Registry record updated Mar 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15436 Issued in FL
Practice address
1660 NE Miami Gardens Dr
Suite 3
North Miami Beach, FL 33179-4924
Phone
(305) 940-3135
Fax
(305) 944-6602
NPI assigned
Aug 21, 2007
Last updated
Mar 23, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2012

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 DN15436 FL Primary

Addresses

Primary practice location

1660 NE Miami Gardens Dr
Suite 3
North Miami Beach, FL 33179-4924

Mailing address

1660 NE Miami Gardens Dr
Suite 3
North Miami Beach, FL 33179-4924
Phone (305) 940-3135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 1, 2022 through Sep 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN15436FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Victorian Dental PastSince Dec 15, 2019 Accepting new patients
Mark L Weiss DMD PA Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1669665956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 NE MIAMI GARDENS DR",
            "address_2": "SUITE 3",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794924",
            "telephone_number": "305-940-3135",
            "fax_number": "305-944-6602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 NE MIAMI GARDENS DR",
            "address_2": "SUITE 3",
            "city": "NORTH MIAMI BEACH",
            "state": "FL",
            "postal_code": "331794924",
            "telephone_number": "305-940-3135",
            "fax_number": "305-944-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GEORGEANA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.