Individual provider Active NPI

Enrique Lewin, D.D.S

  • Dentist
  • Rancho Cucamonga, CA
National Provider Identifier
1669843496
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
65218 Issued in CA
Practice address
7890 Haven Ave. Ste 3
Rancho Cucamonga, CA 91730-0961
Phone
(909) 484-2505
Fax
(909) 484-2507
NPI assigned
Oct 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 65218 CA Primary
General Practice Dentistry 1223G0001X DN31120 FL

Addresses

Primary practice location

7890 Haven Ave. Ste 3
Rancho Cucamonga, CA 91730-0961

Mailing address

6782 Fairwinds CT
Rancho Cucamonga, CA 91701-2564
Phone (747) 232-1535

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

LicenseStateTypeSpecialty
65218CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1669843496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6782 FAIRWINDS CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917012564",
            "telephone_number": "747-232-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7890 HAVEN AVE. STE 3",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300961",
            "telephone_number": "909-484-2505",
            "fax_number": "909-484-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIN",
        "first_name": "ENRIQUE",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-20",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "65218",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN31120",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.