Active NPI
Michael Lewis
- Home Modifications Contractor
- Dagsboro, DE
National Provider Identifier
1760994529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 17-60434-39-003
- Practice address
- 501 Maple CT
Dagsboro, DE 19939-9750 - Phone
- (302) 519-2674
- NPI assigned
- Nov 1, 2017
- Last updated
- Nov 1, 2017
- 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 |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 17-60434-39-003 | DE | Primary |
Addresses
Primary practice location
501 Maple CT
Dagsboro, DE 19939-9750
Mailing address
501 Maple CT
Dagsboro, DE 19939-9750
Phone (302) 519-2674
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17-60434-39-003 | Other | DE | DELAWARE BUSINESS LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509494400000",
"number": "1760994529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MAPLE CT",
"city": "DAGSBORO",
"state": "DE",
"postal_code": "199399750",
"telephone_number": "302-519-2674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MAPLE CT",
"city": "DAGSBORO",
"state": "DE",
"postal_code": "199399750",
"telephone_number": "302-519-2674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-11-01",
"last_updated": "2017-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "",
"desc": "Contractor, Home Modifications",
"state": "DE",
"license": "17-60434-39-003",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DELAWARE BUSINESS LICENSE",
"identifier": "17-60434-39-003",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dagsboro, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.