Edward K Lew DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14805 Issued in CA

Legal business name

EDWARD K LEW DDS INC

Practice address

201 S Alvarado St
Suite 115
Los Angeles, CA 90057-2320

Phone

(213) 484-5377

Fax

(213) 625-0382

NPI assigned

Jan 9, 2010

Last updated

Jan 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward Kidd Lew, D.D.S.

Title

President

Phone

(213) 484-5377

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1262995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262995200000",
    "number": "1750611000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S ALVARADO ST",
            "address_2": "SUITE 115",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572320",
            "telephone_number": "213-484-5377",
            "fax_number": "213-625-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ALVARADO ST",
            "address_2": "SUITE 115",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572320",
            "telephone_number": "213-484-5377",
            "fax_number": "213-625-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD K LEW DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-09",
        "last_updated": "2010-01-09",
        "status": "A",
        "authorized_official_last_name": "LEW",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "KIDD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-484-5377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "14805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2010; 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.