NPIMap

Organization Active NPI

Mark Lewandowski DDS PC

  • General Practice Dentistry
  • West Branch, MI
National Provider Identifier
1952904922
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MARK LEWANDOWSKI DDS PC
Practice address
420 E Houghton Ave
West Branch, MI 48661-1130
Phone
(989) 345-1391
Fax
(989) 345-1601
NPI assigned
Nov 20, 2020
Last updated
Nov 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Authorized official

Name
Mrs. Kathy Avram
Title
Office Manager
Phone
(989) 345-1391

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

420 E Houghton Ave
West Branch, MI 48661-1130

Mailing address

420 E Houghton Ave
West Branch, MI 48661-1130
Phone (989) 345-1391

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL drlew5@yahoo.com

National Provider Directory

National Provider Directory

Locations

420 E Houghton Ave
West Branch, MI 48661
Phone (989) 345-1391

Practitioners & affiliated clinicians

Practitioners 4

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": "1605830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605830400000",
    "number": "1952904922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611130",
            "telephone_number": "989-345-1391",
            "fax_number": "989-345-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E HOUGHTON AVE",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486611130",
            "telephone_number": "989-345-1391",
            "fax_number": "989-345-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK LEWANDOWSKI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-20",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A",
        "authorized_official_last_name": "AVRAM",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "989-345-1391",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drlew5@yahoo.com",
            "affiliation": "N",
            "address_1": "420 E Houghton Ave",
            "city": "West Branch",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486611130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Branch, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.