Judel Lew, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

MO11906 Issued in MO

Practice address

443 N New Ballas Rd Ste 227
Saint Louis, MO 63141-6800

Phone

(314) 569-2208

Fax

(314) 569-2319

NPI assigned

Mar 23, 2007

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

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982721940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 N NEW BALLAS RD STE 227",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416800",
            "telephone_number": "314-569-2208",
            "fax_number": "314-569-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 N NEW BALLAS RD STE 227",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416800",
            "telephone_number": "314-569-2208",
            "fax_number": "314-569-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "JUDEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MO",
            "license": "MO11906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Richard Levy, O.D.
• Marcia Sakurako Levy
• Sandra G Levy, D.C.
• Sonia J Levy, MD
• Jenna Faye Lew-Feit, D.M.D.
• Susan Marylyn Lew, AU.D.
• Valerie Lauren Lew, MD
• Laura Lewandowski, PT
• Patricia Lewien, DNP, FNP-C
• Alexander Ernest Lewis, MD

• Dentist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.