Individual provider Active NPI

Alexander Marcus Lew, DDS

  • General Practice Dentistry
  • Mountain View, CA
National Provider Identifier
1710548649
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
105365 Issued in CA
Practice address
809 Cuesta Dr Ste 205
Mountain View, CA 94040-3666
Phone
(650) 399-9657
NPI assigned
Jun 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 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 105365 CA Primary

Addresses

Primary practice location

809 Cuesta Dr Ste 205
Mountain View, CA 94040-3666

Mailing address

38 Willard LN
Hillsborough, CA 94010-7048
Phone (650) 520-6036

Other practice location 1

2055 Gellert Blvd Ste 4
Daly City, CA 94015-2814
Phone (650) 754-1300

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
105365CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
ML Yeo Dental Corporation PastSince Aug 1, 2022 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": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1710548649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WILLARD LN",
            "city": "HILLSBOROUGH",
            "state": "CA",
            "postal_code": "940107048",
            "telephone_number": "650-520-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CUESTA DR STE 205",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940403666",
            "telephone_number": "650-399-9657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 Gellert Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Daly City",
            "state": "CA",
            "postal_code": "940152814",
            "country_code": "US",
            "telephone_number": "650-754-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEW",
        "first_name": "ALEXANDER",
        "middle_name": "MARCUS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-21",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "105365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.