Active NPI
Brent Aaron Lewright, D.D.S.
- General Practice Dentistry
- San Angelo, TX
National Provider Identifier
1962631721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 24809
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160419000056 | TX | Order and Referring Only - Oral Surgery | 2668770025 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24809 | TN | MD | General Practice Dentistry |
| 24809 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- General Practice Dentistry
- San Angelo, TX
- NPI 1124323639
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.