KENNETH B LEWIS (NPI# 1023097870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023097870 |
| Entity Type | Individual |
| Full Name | KENNETH B LEWIS |
| Credential | D D S |
| Practice Address |
4140 Ramsey St Fayetteville NC 28311-7658 |
| Practice Telephone | 9104880518 |
| Practice Fax Number | 9106302432 |
| Mailing Telephone | 9104880518 |
| Mailing Fax Number | 9106302432 |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2008-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
5029 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | UNITED CONCORDIA | 507178 | 01 |
| NC | 8995255 | 05 | |
| NC | BCBSNC | 95255 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064832 | Kenneth Robert Lewis | Peer Specialist | 320 N Goodman St Ste 202320, Rochester, NY 14607-1185 | 2020-08-18 |
| 1306311840 | Kenneth Paul Lewis | Massage Therapist | 3220 17th St Nw # 10, Washington, DC 20010-2135 | 2018-10-11 |
| 1881123305 | Kenneth Boyd Lewis Jr. | Dentist | 4140 Ramsey St Ste 104, Fayetteville, NC 28311-7658 | 2017-06-08 |
| 1154709350 | Kenneth Lewis | Counselor | 4323 142nd Pl Se, Snohomish, WA 98296-7646 | 2015-05-08 |
| 1629204649 | Kenneth Robert Lewis | Case Manager/Care Coordinator | 9412 W 5th Pl, Kennewick, WA 99336-9603 | 2009-06-04 |
| 1871505529 | Kenneth Dwayne Lewis | Dentist | 1149 E 42nd St, Odessa, TX 79762-7723 | 2006-08-12 |
| 1285299081 | Kenneth Lewis | Case Manager/Care Coordinator | 10001 Lake Forest Blvd Ste 607, New Orleans, LA 70127-6201 | 2019-05-07 |
| 1578028486 | Kenneth Lewis | Licensed Practical Nurse | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-02-05 |
| 1952751315 | Kenneth Bryant Lewis | General Practice | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2016-06-16 |
| 1841660693 | Kenneth Lewis | Counselor | 931 Westwood Dr, Suite E, Marrero, LA 70072-2400 | 2015-10-05 |
| Street Address |
4140 RAMSEY ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28311-7658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730547381 | Jonathan Michael Belk | Physical Therapist | 4140 Ramsey St, Suite 111, Fayetteville, NC 28311-7672 | 2016-02-10 |
| 1003252917 | Kenly Lewis Dine | Dentist | 4140 Ramsey St, Suite 104, Fayetteville, NC 28311-7672 | 2013-05-18 |
| 1740538057 | Breakthrough Physical Therapy Inc | Physical Therapist | 4140 Ramsey St, Ste 111, Fayetteville, NC 28311-7672 | 2012-08-16 |
| 1336317692 | Kenneth B Lewis Dds Pa | Dentist | 4140 Ramsey St, Suite 104, Fayetteville, NC 28311 | 2008-02-20 |
| 1659383313 | Mary Julia Prewitt | Dentist | 4140 Ramsey St, Suite 105, Fayetteville, NC 28311-7672 | 2006-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700415205 | Marcella Eubanks | Physical Therapy Assistant | Rdl Therapeutic Outpatient Therapy, 424 Mcarthur Rd, Fayetteville, NC 28311 | 2020-04-06 |
| 1144856709 | Laura Johnson | Occupational Therapy Assistant | 424 Mcarthur Rd., Fayetteville, NC 28311 | 2020-03-16 |
| 1326507096 | Senior Transportationl.l.c. | Private Vehicle | 164 Tallstone Dr, Fayetteville, NC 28311 | 2019-03-13 |
| 1154850998 | Shannon Marcella Chapman | Physical Therapist | 4140 Ramsey St Ste 110, Fayetteville, NC 28311 | 2017-06-06 |
| 1306392048 | Gena Oxendine | Counselor | 223 Glenola St, Fayetteville, NC 28311 | 2016-09-01 |
| 1023564010 | Rachel Sokolowski | Physical Therapy Assistant | 231 Treetop Dr., Fayetteville, NC 28311 | 2016-08-30 |
| 1285984765 | Towanaka Yvette Bass | Home Health Aide | 5688 Dobson Drive, Fayetteville, NC 28311 | 2012-09-12 |
| 1255574448 | Amy E. Southworth | Occupational Therapist | 3409 Connection Rd, Fayetteville, NC 28311 | 2009-04-17 |
| 1922246818 | Calhoun Family Pharmacy Inc | Pharmacy | 4417 Ramsey Street, Fayetteville, NC 28311 | 2009-01-30 |
| 1003051210 | Us Army | Clinic/Center | 5587 Lockridge Road, Fayetteville, NC 28311 | 2008-12-03 |
| Find all providers in zip 28311 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346898335 | Chaitanya Joopally Dds Pllc | Dentist | 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 | 2019-09-03 |
| 1972151439 | Ikenna K Okons | Dentist | 4200 Morganton Rd Ste 304, Fayetteville, NC 28314-1564 | 2019-08-28 |
| 1114488079 | Bianca Kristina Adams | Dentist | 207 Forest Creek Dr, Fayetteville, NC 28303-5496 | 2019-03-25 |
| 1194226506 | Michael E. Carter, Dds, Pllc | Dentist | 1874 N Hunters Rdg Ste 1, Fayetteville, AR 72701-2896 | 2018-02-22 |
| 1760900153 | Elali Alisha Marie Moukwa | Dentist | 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 | 2017-09-06 |
| 1548781107 | Christopher Heard | Dentist | 265 N Jeff Davis Dr Ste 1a, Fayetteville, GA 30214-1668 | 2017-07-03 |
| 1881123305 | Kenneth Boyd Lewis Jr. | Dentist | 4140 Ramsey St Ste 104, Fayetteville, NC 28311-7658 | 2017-06-08 |
| 1518496215 | Van Michael Mcqueen Jr. | Dentist | 640 N Garland Ave # 104, Fayetteville, AR 72701 | 2017-06-06 |
| 1710415229 | Alan Kuo | Dentist | 1400 Walter Reed Rd Ste 200, Fayetteville, NC 28304 | 2017-05-28 |
| 1508304866 | Karan G Mirchandani | Dentist | 4251 Ramsey St Ste 8, Fayetteville, NC 28311-2130 | 2017-02-07 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28311 |
Please comment or provide details below to improve the information on KENNETH B LEWIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.