Individual provider Active NPI

Britney Lewis

  • General Practice Dentistry
  • Roswell, GA
National Provider Identifier
1790301943
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN016076 Issued in GA
Practice address
1345 Hembree Rd
Roswell, GA 30076-3816
Phone
(678) 274-6989
NPI assigned
Jun 24, 2020
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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 DN016076 GA Primary

Addresses

Primary practice location

1345 Hembree Rd
Roswell, GA 30076-3816

Mailing address

11175 Abbotts Walk Dr
Johns Creek, GA 30097-8452

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address blewis@dentalcarealliance.com Dental Care Alliance LLC

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
DN016076GAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1790301943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11175 ABBOTTS WALK DR",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 HEMBREE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763816",
            "telephone_number": "678-274-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BRITNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN016076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "blewis@dentalcarealliance.com",
            "affiliation": "Y",
            "affiliationName": "Dental Care Alliance LLC",
            "address_1": "1345 Hembree Rd",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300763816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.