Organization Active NPI

Lucinda Ann Lewis DDS, PC

  • Pediatric Dentistry
  • Aurora, CO
National Provider Identifier
1831467554
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
LUCINDA ANN LEWIS DDS, PC
Practice address
390 S Potomac Way
Suite a
Aurora, CO 80012-1375
Phone
(303) 367-1502
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Authorized official

Name
Dr. Lucinda Ann Lewis, DDS
Title
Pediatric Dentist
Phone
(303) 367-1502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

390 S Potomac Way
Suite a
Aurora, CO 80012-1375

Mailing address

390 S Potomac Way
Suite a
Aurora, CO 80012-1375
Phone (303) 367-1502

Other identifiers 2

IdentifierTypeStateIssuer
67805341MedicaidCO
1053319269OtherNPI

National Provider Directory

National Provider Directory

Locations

390 S Potomac Way
Ste A
Aurora, CO 80012
Phone (303) 367-1502

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": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1831467554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 S POTOMAC WAY",
            "address_2": "SUITE A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800121375",
            "telephone_number": "303-367-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S POTOMAC WAY",
            "address_2": "SUITE A",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800121375",
            "telephone_number": "303-367-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCINDA ANN LEWIS DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "303-367-1502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "67805341",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1053319269",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.