Individual provider Active NPI

Thomas E Lewis, DDS

  • Dentist
  • Lavista, NE
National Provider Identifier
1821089798
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6132 Issued in NE
Practice address
8104 S 96TH St
Suite 1
Lavista, NE 68128-3187
Phone
(402) 339-2141
Fax
(402) 592-5505
NPI assigned
Oct 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6132 NE Primary

Addresses

Primary practice location

8104 S 96TH St
Suite 1
Lavista, NE 68128-3187

Mailing address

8104 S 96TH St
Suite 1
Lavista, NE 68128-3187
Phone (402) 339-2141

Other identifiers 1

IdentifierTypeStateIssuer
91186246-00MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20150528000042 NE Order and Referring Only - DentistPractitioner - Dentist 8527388875

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6132NEMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821089798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8104 S 96TH ST",
            "address_2": "SUITE 1",
            "city": "LAVISTA",
            "state": "NE",
            "postal_code": "681283187",
            "telephone_number": "402-339-2141",
            "fax_number": "402-592-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8104 S 96TH ST",
            "address_2": "SUITE 1",
            "city": "LAVISTA",
            "state": "NE",
            "postal_code": "681283187",
            "telephone_number": "402-339-2141",
            "fax_number": "402-592-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "THOMAS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NE",
            "license": "6132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "91186246-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lavista, NE

Sources for this page

Verify at the official NPI Registry.