Lewis C Cole, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

5467 Issued in AL

Practice address

525 Energy Center Blvd
Suite 1603
Northport, AL 35473-5830

Phone

(205) 344-6900

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Lewis Cole DMD PC

  • General Practice Dentistry
  • Northport, AL
  • NPI 1609172998
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1972679967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ENERGY CENTER BLVD",
            "address_2": "SUITE 1603",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735830",
            "telephone_number": "205-344-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ENERGY CENTER BLVD",
            "address_2": "SUITE 1603",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354735830",
            "telephone_number": "205-344-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "LEWIS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "5467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "993983",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Manley Colburn, DMD
• Colburn's Northport Pharmacy, Inc. (Northport Pharmacy)
• Colburn's Northport Pharmacy, Inc.
• Cole Counseling, LLC
• Heather Marie Cole, LICSW, LCSW
• Margaret Cole
• Erica Colley, NP
• Amy Nicole Collins, DNP, FNP-C
• Richard Earl Collins, CRNA
• Communication Advantage

• Dentist in Northport, AL
• Providers in Northport, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; 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.

Verify at the official NPI Registry.