NPIMap

Organization Active NPI

Lewis and Associates, DDS, PC

Doing business as Southern Dental Associates - Sugar Land

  • Dentist
  • Stafford, TX
National Provider Identifier
1972517787
Registry record updated Aug 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9517 Issued in TX
Legal business name
LEWIS AND ASSOCIATES, DDS, PC
Doing business as
Southern Dental Associates - Sugar Land
Practice address
12800 Fountain Lake Cir
Stafford, TX 77477-3756
Phone
(281) 277-1609
Fax
(281) 277-1236
NPI assigned
Jul 28, 2006
Last updated
Aug 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2009

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

Authorized official

Name
Dr. David D. Lewis, DDS
Title
President
Phone
(713) 681-7920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9517 TX Primary

Addresses

Primary practice location

12800 Fountain Lake Cir
Stafford, TX 77477-3756

Mailing address

2500 Central Pkwy
Suite P
Houston, TX 77092-7733
Phone (713) 681-7920

Other identifiers 1

IdentifierTypeStateIssuer
136359005MedicaidTX

Other names 1

  • Southern Dental Associates - Sugar Land Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lewis and Associates DDS PC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2500 Central Pkwy
Ste P
Houston, TX 77092

Practitioners & affiliated clinicians

Practitioners 3

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250208000000",
    "number": "1972517787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CENTRAL PKWY",
            "address_2": "SUITE P",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770927733",
            "telephone_number": "713-681-7920",
            "fax_number": "713-263-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 FOUNTAIN LAKE CIR",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773756",
            "telephone_number": "281-277-1609",
            "fax_number": "281-277-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEWIS AND ASSOCIATES, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2009-08-14",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-681-7920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "9517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136359005",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Dental Associates - Sugar Land",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2009; 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.