Jack Lewright Jr., D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

11327 Issued in TX

Practice address

2520 Southland Blvd
San Angelo, TX 76904-7561

Phone

(325) 949-8535

Fax

(325) 944-8908

NPI assigned

Mar 13, 2014

Last updated

Mar 13, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lewright Family & Cosmetic Dentistry

  • General Practice Dentistry
  • San Angelo, TX
  • NPI 1124323639
  NPD (past) Authorized official

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1861818999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SOUTHLAND BLVD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047561",
            "telephone_number": "325-949-8535",
            "fax_number": "325-944-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SOUTHLAND BLVD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047561",
            "telephone_number": "325-949-8535",
            "fax_number": "325-944-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWRIGHT",
        "first_name": "JACK",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "11327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Don Michael Lewis, M.D.
• Liliana Valenzuela Lewis, LPC
• Robert Reed Lewis
• Lewright Family & Cosmetic Dentistry
• Brent Aaron Lewright, D.D.S.
• Kaleen Elizabeth Lewter
• Lifestyle Medical, LLC
• David Alan Light, CPO, LPO
• Lincare Inc.
• Gregory C Lind, MD

• Dentist in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.

Verify at the official NPI Registry.