Active NPI
Connor Lewis
- Dentist
- Camp Hill, PA
National Provider Identifier
1861186439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS044080
- Practice address
- 890 Poplar Church Rd
Camp Hill, PA 17011-2250 - Phone
- (717) 761-2453
- NPI assigned
- Jun 6, 2023
- 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 | DS044080 | PA | Primary |
Addresses
Primary practice location
890 Poplar Church Rd
Camp Hill, PA 17011-2250
Mailing address
1332 Saxton Way
Mechanicsburg, PA 17055-5214
Phone (717) 448-0129
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
| License | State | Type | Specialty |
|---|---|---|---|
| DS044080 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686009600000",
"number": "1861186439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1332 SAXTON WAY",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170555214",
"telephone_number": "717-448-0129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 POPLAR CHURCH RD",
"city": "CAMP HILL",
"state": "PA",
"postal_code": "170112250",
"telephone_number": "717-761-2453"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CONNOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-06",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "PA",
"license": "DS044080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.