Active NPI
Juan C Lewis, CP
- Prosthetist
- Portland, OR
National Provider Identifier
1740471093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- PS00000206
- Practice address
- 21 NE 7TH Ave
Portland, OR 97232-2907 - Phone
- (503) 231-4876
- Fax
- (503) 232-0256
- NPI assigned
- Aug 1, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | PS00000206 | WA | Primary |
Addresses
Primary practice location
21 NE 7TH Ave
Portland, OR 97232-2907
Mailing address
21 NE 7TH Ave
Portland, OR 97232-2907
Phone (503) 231-4876
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS00000206 | WA | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon Artificial Limb Co. | Prosthetist | 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": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1740471093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 NE 7TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322907",
"telephone_number": "503-231-4876",
"fax_number": "503-232-0256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 NE 7TH AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322907",
"telephone_number": "503-231-4876",
"fax_number": "503-232-0256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "JUAN",
"middle_name": "C",
"credential": "CP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-01",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "WA",
"license": "PS00000206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.