Organization Active NPI

Lewis Cosmetic & Family Dentistry PLLC

  • Dentist
  • Middle Village, NY
National Provider Identifier
1902989742
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
045565 Issued in NY
Legal business name
LEWIS COSMETIC & FAMILY DENTISTRY PLLC
Practice address
6711 75 Street
Middle Village, NY 11379-2630
Phone
(718) 326-1212
Fax
(718) 894-6132
NPI assigned
Oct 23, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David Hanley Lewis, DDSNPI 1770791303
Title
Member Dentist
Phone
(718) 326-1212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 045565 NY Primary
Dentist 122300000X 024547 NY

Addresses

Primary practice location

6711 75 Street
Middle Village, NY 11379-2630

Mailing address

6711 75 Street
Middle Village, NY 11379-2630
Phone (718) 326-1212

National Provider Directory

National Provider Directory

Locations

6711 75th St
Middle Village, NY 11379
Phone (718) 236-1212

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902989742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 75 STREET",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792630",
            "telephone_number": "718-326-1212",
            "fax_number": "718-894-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 75 STREET",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792630",
            "telephone_number": "718-326-1212",
            "fax_number": "718-894-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS COSMETIC & FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HANLEY",
        "authorized_official_title_or_position": "MEMBER DENTIST",
        "authorized_official_telephone_number": "718-326-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "045565",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "024547",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middle Village, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.