Active NPI
Constance Marie Lewis, DDS
- General Practice Dentistry
- Waynesville, NC
National Provider Identifier
1891803441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7904
- Practice address
- 205 Waynesville PLZ
Waynesville, NC 28786-5765 - Phone
- (828) 452-5656
- NPI assigned
- Aug 25, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7904 | NC | Primary |
Addresses
Primary practice location
205 Waynesville PLZ
Waynesville, NC 28786-5765
Mailing address
205 Waynesville PLZ
Waynesville, NC 28786-5765
Phone (828) 452-5656
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 902YX | Other | BLUE CROSS BLUE SHIELD NC | |
| 89-902YX | Medicaid | NC |
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 |
|---|---|---|---|
| 7904 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ballance & Derose DDS PA | General Practice | Past | Accepting new patients |
| Rafael Rivera, Jr., DDS, PLLC | General Practice | Past | Accepting new patients |
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": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1891803441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 WAYNESVILLE PLZ",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287865765",
"telephone_number": "828-452-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 WAYNESVILLE PLZ",
"city": "WAYNESVILLE",
"state": "NC",
"postal_code": "287865765",
"telephone_number": "828-452-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "CONSTANCE",
"middle_name": "MARIE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "7904",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD NC",
"identifier": "902YX",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89-902YX",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waynesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.