Active NPI
Audra R Lewis, RDH
- Dental Hygienist
- Laveen, AZ
National Provider Identifier
1881021293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 7673
- Practice address
- 5270 W Baseline Rd
Suite 130
Laveen, AZ 85339-6959 - Phone
- (602) 237-8182
- NPI assigned
- Sep 30, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 7673 | AZ | Primary |
Addresses
Primary practice location
5270 W Baseline Rd
Suite 130
Laveen, AZ 85339-6959
Mailing address
5270 W Baseline Rd
Suite 130
Laveen, AZ 85339-6959
Phone (602) 237-8182
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 |
|---|---|---|---|
| 7673 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380499200000",
"number": "1881021293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5270 W BASELINE RD",
"address_2": "SUITE 130",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853396959",
"telephone_number": "602-237-8182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5270 W BASELINE RD",
"address_2": "SUITE 130",
"city": "LAVEEN",
"state": "AZ",
"postal_code": "853396959",
"telephone_number": "602-237-8182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "AUDRA",
"middle_name": "R",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-30",
"last_updated": "2013-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "7673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laveen, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.