Organization Active NPI

Rodney P Lewis DDS Ms PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Richardson, TX
National Provider Identifier
1891333837
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
RODNEY P LEWIS DDS MS PA
Practice address
100 N Central Expy Ste 1107
Richardson, TX 75080-5542
Phone
(972) 907-9900
NPI assigned
Dec 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Authorized official

Name
Rodney Lewis
Title
Owner
Phone
(972) 907-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

100 N Central Expy Ste 1107
Richardson, TX 75080-5542

Mailing address

100 N Central Expy Ste 1107
Richardson, TX 75080-5542

Other identifiers 1

IdentifierTypeStateIssuer
1174502736OtherTXNPPES

National Provider Directory

National Provider Directory

Locations

100 N Central Expy
Ste 1107
Richardson, TX 75080
Phone (972) 907-9900

NPI Registry JSON

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

{
    "created_epoch": "1576713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576713600000",
    "number": "1891333837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CENTRAL EXPY STE 1107",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CENTRAL EXPY STE 1107",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805542",
            "telephone_number": "972-907-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY P LEWIS DDS MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-907-9900"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1174502736",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.