Lewis Dental Services

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LEWIS DENTAL SERVICES

Practice address

675 S Woodruff Ave
Idaho Falls, ID 83401-5596

Phone

(208) 270-0301

NPI assigned

May 25, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Lewis, DDSNPI 1679098008

Title

Owner

Phone

(208) 270-0301

Specialties & licenses 1

Addresses

Other names 1

• MOUNTAIN WEST DENTAL CARE Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Lewis

  • Dentist
  • Idaho Falls, ID
  • NPI 1679098008

  General Practice

  NPD Authorized official

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

{
    "created_epoch": "1684972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684972800000",
    "number": "1891487872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 E 319 N",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834425450",
            "telephone_number": "208-270-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 S WOODRUFF AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015596",
            "telephone_number": "208-270-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS DENTAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-25",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-270-0301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNTAIN WEST DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darin Leslie, PA-C
• Merrilee Catherine Leslie, BS
• Leslieann Schweiger Crna Chartered
• Margaret Ann Leverett, RNCNP
• Tommy H Lew, RPH
• Benjamin Dean Lewis, L.M.T., M.M.P.
• Cathy Lewis, FNP-C
• Joshua Lewis
• McKylie Raellen Lewis, MS, RDN, LD
• Robert Taylor Lewis, CRNA

• General Practice Dentistry in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• General Practice Dentistry in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.

Verify at the official NPI Registry.