Individual provider Active NPI

Donald P Lewis Jr., DDS

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Euclid, OH
National Provider Identifier
1891893673
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
30015177 Issued in OH
Practice address
26300 Euclid Avenue
Suite 410
Euclid, OH 44132
Phone
(216) 261-1010
Fax
(216) 261-9442
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 30015177 OH Primary

Addresses

Primary practice location

26300 Euclid Avenue
Suite 410
Euclid, OH 44132

Mailing address

26300 Euclid Avenue
Suite 410
Euclid, OH 44132
Phone (216) 261-1010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20061221000352 OH Practitioner - Oral Surgery 4486654480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Oral Surgery
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1976
Medicare assignment
May accept Medicare assignment
Group practices
Ohios Center for Ofandi Surgery IncGroup PAC ID 5496983918, 5 clinicians

Practice addresses (Care Compare)

17747 Chillicothe Rd
Suite 203
Chagrin Falls, OH 44023-4739
Phone (440) 255-3700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30015177OHMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System PastSince Dec 27, 2014 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dlewis219250@ehrdirect.uhhospitals.org

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891893673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26300 EUCLID AVENUE",
            "address_2": "SUITE 410",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "44132",
            "telephone_number": "216-261-1010",
            "fax_number": "216-261-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26300 EUCLID AVENUE",
            "address_2": "SUITE 410",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "44132",
            "telephone_number": "216-261-1010",
            "fax_number": "216-261-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DONALD",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "OH",
            "license": "30015177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

Verify at the official NPI Registry.