Individual provider Active NPI

Brent Aaron Lewright, D.D.S.

  • General Practice Dentistry
  • San Angelo, TX
National Provider Identifier
1962631721
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24809 Issued in TN
Practice address
2520 Southland Blvd
San Angelo, TX 76904-7561
Phone
(325) 949-8535
Fax
(325) 944-8908
NPI assigned
Jul 14, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 24809 TN Primary

Addresses

Primary practice location

2520 Southland Blvd
San Angelo, TX 76904-7561

Mailing address

2520 Southland Blvd
San Angelo, TX 76904-7561
Phone (325) 949-8535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160419000056 TX Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2668770025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24809TNMDGeneral Practice Dentistry
24809TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lewright Family & Cosmetic Dentistry General Practice Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1962631721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SOUTHLAND BLVD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047561",
            "telephone_number": "325-949-8535",
            "fax_number": "325-944-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SOUTHLAND BLVD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047561",
            "telephone_number": "325-949-8535",
            "fax_number": "325-944-8908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWRIGHT",
        "first_name": "BRENT",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "24809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.