Active NPI
Donald Joseph Lewandowski, DDS
- Dentist
- Greenfield, WI
National Provider Identifier
1962680876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1286E
- Practice address
- 4915 S 79 St
Greenfield, WI 53220 - Phone
- (414) 281-5833
- Fax
- (414) 281-5833
- NPI assigned
- Feb 1, 2008
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 1286E | WI | Primary |
Addresses
Primary practice location
4915 S 79 St
Greenfield, WI 53220
Mailing address
4915 S 79 St
Greenfield, WI 53220
Phone (414) 281-5833
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1286E | WI | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1962680876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4915 S 79 ST",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "53220",
"telephone_number": "414-281-5833",
"fax_number": "414-281-5833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4915 S 79 ST",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "53220",
"telephone_number": "414-281-5833",
"fax_number": "414-281-5833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWANDOWSKI",
"first_name": "DONALD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-01",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WI",
"license": "1286E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.