Individual provider Active NPI

Ben Lewis, D.D.S.

  • Dentist
  • Fort Myers, FL
National Provider Identifier
1891746855
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN6885 Issued in FL
Practice address
13401 Summerlin Rd Ste 8
Fort Myers, FL 33919-6593
Phone
(239) 415-1880
Fax
(239) 415-1884
NPI assigned
May 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN6885 FL Primary

Addresses

Primary practice location

13401 Summerlin Rd Ste 8
Fort Myers, FL 33919-6593

Mailing address

13401 Summerlin Rd Ste 8
Fort Myers, FL 33919-6593
Phone (239) 415-1880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20151222000005 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5496768996

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN6885FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Dental P.a. Dentist Past Accepting new patients
Coast Dental P.a. Dentist PastSince Jun 22, 2021 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270771200000",
    "number": "1891746855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13401 SUMMERLIN RD STE 8",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339196593",
            "telephone_number": "239-415-1880",
            "fax_number": "239-415-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 SUMMERLIN RD STE 8",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339196593",
            "telephone_number": "239-415-1880",
            "fax_number": "239-415-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2010-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN6885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.