Bernard Alan Lewis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

GI-0001173 Issued in DE

Practice address

149 Great Geneva Dr
Dover, DE 19901-5870

Phone

(302) 943-0456

NPI assigned

Feb 24, 2007

Sex

Male

Sole proprietor

Yes

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 DE

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

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364083200000",
    "number": "1992831101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 GREAT GENEVA DR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199015870",
            "telephone_number": "302-943-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 GREAT GENEVA DR",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199015870",
            "telephone_number": "302-943-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "BERNARD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2013-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "GI-0001173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Rose Leventoff, PA-C
• Nikita Levy Jr., O.D.
• Bethany M Lewallen, O.D
• Lawrence Lewandowski, MD
• Julie Elizabeth Lewicki, LCSW, RPT
• Kim M Lewis, MPT
• Tamara Lee Lewis, MSN, RN, FNE
• Jeffrey Li, PA-C
• Kehan Li, D.M.D
• Life Abundantly Doula Services

• General Practice Dentistry in Dover, DE
• Providers in Dover, DE by specialty
• General Practice Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2013; 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.