Active NPI
Nathan C. Lewis, DDS
- Dentist
- Sandy, UT
National Provider Identifier
1871668087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 3486269922
- Practice address
- 9730 S 700 E
Suite 204
Sandy, UT 84070-3511 - Phone
- (801) 572-3211
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 3486269922 | UT | Primary |
Addresses
Primary practice location
9730 S 700 E
Suite 204
Sandy, UT 84070-3511
Mailing address
9730 S 700 E
Suite 204
Sandy, UT 84070-3511
Phone (801) 572-3211
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 |
|---|---|---|---|
| 3486269922 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871668087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9730 S 700 E",
"address_2": "SUITE 204",
"city": "SANDY",
"state": "UT",
"postal_code": "840703511",
"telephone_number": "801-572-3211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 S 700 E",
"address_2": "SUITE 204",
"city": "SANDY",
"state": "UT",
"postal_code": "840703511",
"telephone_number": "801-572-3211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "NATHAN",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "3486269922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.