Individual provider Active NPI

Lewis Herbert Pierce, DDS

  • Dentist
  • Minneapolis, MN
National Provider Identifier
1902170145
Registry record updated Mar 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D7003 Issued in MN
Practice address
1066 Cedar View Dr
Minneapolis, MN 55405-2129
Phone
(651) 338-7809
NPI assigned
Mar 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D7003 MN Primary

Addresses

Primary practice location

1066 Cedar View Dr
Minneapolis, MN 55405-2129

Mailing address

1066 Cedar View Dr
Minneapolis, MN 55405-2129
Phone (651) 338-7809

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20181211000659 WI Order and Referring Only - DentistPractitioner - Dentist 7416291992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D7003MNMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1902170145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 CEDAR VIEW DR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052129",
            "telephone_number": "651-338-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 CEDAR VIEW DR",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052129",
            "telephone_number": "651-338-7809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "LEWIS",
        "middle_name": "HERBERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-06",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D7003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.