Active NPI
Lewis Dental Associates
- General Practice Physician
- Dallas, TX
National Provider Identifier
1952405276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- LEWIS DENTAL ASSOCIATES
- Practice address
- 3524 N Hamptom Rd
Lewis Dental Associates
Dallas, TX 75212 - Phone
- (214) 637-4604
- Fax
- (214) 630-9258
- NPI assigned
- Sep 8, 2006
- Last updated
- Jul 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Osherra D Davis, DDS
- Title
- Office Manger
- Phone
- (214) 637-4604
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
3524 N Hamptom Rd
Lewis Dental Associates
Dallas, TX 75212
Mailing address
3524 N Hampton Rd
Dallas, TX 75212
Phone (214) 637-4604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9742001 | Medicaid | TX |
National Provider Directory
National Provider Directory- Tax ID family
- Lewis Dental Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Dallas, TX
- NPI 1508976614
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- General Practice Dentistry
- Dallas, TX
- NPI 1366608366
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217289600000",
"number": "1952405276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3524 N HAMPTON RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "75212",
"telephone_number": "214-637-4604",
"fax_number": "214-630-9258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3524 N HAMPTOM RD",
"address_2": "LEWIS DENTAL ASSOCIATES",
"city": "DALLAS",
"state": "TX",
"postal_code": "75212",
"telephone_number": "214-637-4604",
"fax_number": "214-630-9258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEWIS DENTAL ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-08",
"last_updated": "2008-07-29",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "OSHERRA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OFFICE MANGER",
"authorized_official_telephone_number": "214-637-4604",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9742001",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.