Organization Active NPI

W. Lee Lewis, DDS, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Washington, NC
National Provider Identifier
1780026575
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
6529 Issued in NC
Legal business name
W. LEE LEWIS, DDS, PLLC
Practice address
515 W 15TH St
Washington, NC 27889-3565
Phone
(252) 975-3709
NPI assigned
Jul 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Robin Bass
Title
Practice Administrator
Phone
(252) 752-6188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 6529 NC Primary

Addresses

Primary practice location

515 W 15TH St
Washington, NC 27889-3565

Mailing address

515 W 15TH St
Washington, NC 27889-3565
Phone (252) 975-3709

Other identifiers 1

IdentifierTypeStateIssuer
89902AJMedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1780026575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893565",
            "telephone_number": "252-975-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W 15TH ST",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893565",
            "telephone_number": "252-975-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. LEE LEWIS, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-23",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "252-752-6188"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NC",
            "license": "6529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902AJ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; 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.