Charles H Lewis, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901008084 Issued in MI

Practice address

2490 Walton Blvd
Suite 202
Rochester Hills, MI 48309-1484

Phone

(248) 656-2244

NPI assigned

May 4, 2008

Last updated

May 4, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amanda B. Boltwood DDS PLLC

  • Dentist
  • Rochester Hills, MI
  • NPI 1841606332
  NPD (past)
• Michael J. Deporre, D.D.S., P.C.

  • General Practice Dentistry
  • Rochester Hills, MI
  • NPI 1932292216
  NPD (past)

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

{
    "created_epoch": "1209859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209859200000",
    "number": "1952577587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 ASPEN DR",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071005",
            "telephone_number": "248-651-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 WALTON BLVD",
            "address_2": "SUITE 202",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483091484",
            "telephone_number": "248-656-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-04",
        "last_updated": "2008-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901008084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Levin
• Zachary Levine, M.D.
• Simon Cary Levinson, M.A.
• Shaina Lewinski, DC
• Abigail M Lewis, MA, LPC, SCL
• Liberty Home Medical Supply
• Phoebe Liebnau
• Erika Liechty, M.A. CCC-SLP
• Life in Balance Osteopathic Medical Center PLLC
• Lifeclinic Chiropractic of Michigan PLLC

• General Practice Dentistry in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.