Lewis Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

LEWIS PEDIATRIC DENTISTRY PLLC

Practice address

365 Aviation Rd
Queensbury, NY 12804-2915

Phone

(610) 420-4948

NPI assigned

Jan 6, 2020

Organization subpart

No

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

Authorized official

Name

Dr. James Lewis, D.M.D.NPI 1144635467

Title

Member

Phone

(610) 420-4948

Specialties & licenses 1

Addresses

Practitioners 1

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

• James Brooke Lewis, D.M.D.

  • Pediatric Dentistry
  • Clifton Park, NY
  • NPI 1144635467
  NPD Authorized official

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1902445190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ERINN CT",
            "city": "WILTON",
            "state": "NY",
            "postal_code": "128312520",
            "telephone_number": "610-420-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 AVIATION RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128042915",
            "telephone_number": "610-420-4948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "610-420-4948",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Mary Legere, PNP
• Tara Lehan, LMSW
• Joan Bush Lemery, LCSWR
• Francine Dominique Leo, LMHC-P
• Kyle S Leonard, MD
• Heather Lynn Lewis, OT
• David Bruce Lieberman, BA, MS, CAS
• Bridget Lieberum, PT
• Lifted Heart Mental Health Counseling, PLLC
• Sarah Lippert, CCC-SLP

• Pediatric Dentistry in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.