Individual provider Active NPI

Guy M Lewis, DDS

  • Dentist
  • The Woodlands, TX
National Provider Identifier
1821000308
Registry record updated Nov 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14213 Issued in TX
Practice address
4800 W Panther Creek Dr
Suite 200
The Woodlands, TX 77381-2563
Phone
(281) 367-6465
Fax
(281) 367-5516
NPI assigned
Aug 12, 2006
Last updated
Nov 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14213 TX Primary

Addresses

Primary practice location

4800 W Panther Creek Dr
Suite 200
The Woodlands, TX 77381-2563

Mailing address

4800 W Panther Creek Dr Ste 200
The Woodlands, TX 77381-2568
Phone (281) 367-6465

Other identifiers 1

IdentifierTypeStateIssuer
14213OtherTXDENTAL ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151103000519 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4789994856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14213TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1821000308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 W PANTHER CREEK DR STE 200",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812568",
            "telephone_number": "281-367-6465",
            "fax_number": "281-367-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 W PANTHER CREEK DR",
            "address_2": "SUITE 200",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812563",
            "telephone_number": "281-367-6465",
            "fax_number": "281-367-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "GUY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "14213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL ID",
            "identifier": "14213",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.