Active NPI
Alexander James Lew, DMD
- Dentist
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D010026
- Practice address
- 2920 N 4TH St
Flagstaff, AZ 86004-1816 - Phone
- (928) 522-9405
- Fax
- (928) 522-9537
- NPI assigned
- Jun 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D010026 | AZ | Primary |
Addresses
Primary practice location
2920 N 4TH St
Flagstaff, AZ 86004-1816
Mailing address
PO Box 1231
Tucson, AZ 85702-1231
Phone (520) 670-3909
Other practice location 1
304 S Regent St Ste 101
Flagstaff, AZ 86001-5961
Phone (928) 226-7494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| North Country Healthcare, Inc. | Current | Accepting new patients | |
| Flagstaff Modern Dentistry | Dentist | Past | Accepting new patients |
| North Country Healthcare, Inc. | Past | Accepting new patients |
Locations
2920 N 4th St
Flagstaff, AZ 86004
Phone (928) 213-6100
2650 E Show Low Lake Rd
Ste 1
Show Low, AZ 85901
Phone (928) 537-4300
300 S 6th St
Williams, AZ 86046
Phone (928) 635-4441
620 Lee St
Winslow, AZ 86047
Phone (928) 288-8700
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Tucson, AZ
- NPI 1487602736
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1073583472
-
- Multi-Specialty Clinic/Center
- Show Low, AZ
- NPI 1073740098
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1619345675
-
- Dentist
- Flagstaff, AZ
- NPI 1386033629
-
- Pediatrics Physician
- Flagstaff, AZ
- NPI 1669911764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1831682640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1231",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857021231",
"telephone_number": "520-670-3909",
"fax_number": "520-309-2560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 N 4TH ST",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860041816",
"telephone_number": "928-522-9405",
"fax_number": "928-522-9537"
}
],
"practiceLocations": [
{
"address_1": "304 S Regent St Ste 101",
"address_purpose": "LOCATION",
"city": "Flagstaff",
"state": "AZ",
"postal_code": "860015961",
"country_code": "US",
"telephone_number": "928-226-7494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEW",
"first_name": "ALEXANDER",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-07",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D010026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.