Individual provider Active NPI

Mary Hope Lewis, DDS

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1730264391
Registry record updated Feb 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
07456 Issued in VA
Practice address
328 N Great Neck Rd Ste 105
Virginia Beach, VA 23454-4060
Phone
(757) 631-9200
Fax
(757) 486-9040
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2022

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 07456 VA Primary

Addresses

Primary practice location

328 N Great Neck Rd Ste 105
Virginia Beach, VA 23454-4060

Mailing address

328 N Great Neck Rd Ste 105
Virginia Beach, VA 23454-4060
Phone (757) 631-9200

Other identifiers 2

IdentifierTypeStateIssuer
909306OtherVAUNITED CONCORDIA
ANTHEMOtherVA384430

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
07456VAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1730264391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 N GREAT NECK RD STE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544060",
            "telephone_number": "757-631-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 N GREAT NECK RD STE 105",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544060",
            "telephone_number": "757-631-9200",
            "fax_number": "757-486-9040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "MARY",
        "middle_name": "HOPE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "07456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "909306",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "384430",
            "identifier": "ANTHEM",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; 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.