KEVIN L LEWIS (NPI# 1184780603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184780603 |
| Entity Type | Individual |
| Full Name | KEVIN L LEWIS |
| Credential | D.D.S |
| Practice Address |
3900 Bristol Hwy # B-14 Johnson City TN 37601-1378 |
| Practice Telephone | 4232821842 |
| Mailing Telephone | 4232821842 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS007408 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | UNITED CONCORDIA | 451884 | 01 |
| TN | BLUE CROSS BLUE SHIELD | 4004301 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548593239 | Kevin Dale Lewis | Chiropractor | 753 Sw 11th St Apt A, Redmond, OR 97756-2632 | 2009-09-11 |
| 1245331487 | Kevin S Lewis | Physician Assistant | 120 10th St Sw, Puyallup, WA 98371-5308 | 2006-09-26 |
| 1396846242 | Kevin Lewis | Nurse Practitioner | 601 5th St S Ste 502, St Petersburg, FL 33701-4804 | 2006-09-25 |
| 1790304772 | Kevin Lewis | Student in an Organized Health Care Education/Training Program | 525 E 68th St, New York, NY 10065-4870 | 2020-04-10 |
| 1841831955 | Kevin Peter Lewis | Nurse Anesthetist, Certified Registered | 1081 N China Lake Blvd, Ridgecrest, CA 93555-3130 | 2019-10-01 |
| 1730642570 | Kevin Lewis | Behavior Technician | 10370 Battleview Pkwy, Manassas, VA 20109-2338 | 2019-04-09 |
| 1275025637 | Kevin L Lewis | Marriage & Family Therapist | 4299 Middle Settlement Rd, New Hartford, NY 13413-5329 | 2018-06-01 |
| 1962917088 | Kevin Patrick Lewis | Nurse Practitioner | 3801 Filbert St, Philadelphia, PA 19104 | 2017-12-12 |
| 1821514571 | Kevin K Lewis | Social Worker | 329 E 149th St Fl 4, Bronx, NY 10451-5626 | 2017-08-15 |
| 1710411962 | Kevin Lewis | Emergency Medicine | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2017-04-14 |
| Street Address |
3900 BRISTOL HWY # B-14 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-1378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| 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 |
|---|---|---|---|---|
| 1558988352 | Oral Sleep Devices Pllc | Dentist | 110 Corporate Dr Ste 140, Johnson City, TN 37604-2008 | 2020-06-29 |
| 1386120061 | Adam Major | Dentist | 520 W Oakland Ave Ste 6, Johnson City, TN 37604-1654 | 2018-07-16 |
| 1689056624 | Johnson City Dental | Dentist | 1720 W. Market St., Johnson City, TN 37604-6021 | 2015-06-26 |
| 1770893760 | Nilam Tulsidas Patel | Dentist | 502 Princeton Rd Ste B, Johnson City, TN 37601-2047 | 2010-10-08 |
| 1255642906 | Rhiannon Mariah Miller | Dentist | 1303 Carroll Creek Rd, Suite 120, Johnson City, TN 37615-4674 | 2010-06-28 |
| 1205150877 | James Gilbert Holt | Dentist | 111 W. Fairview Ave, Johnson City, TN 37604-5632 | 2010-03-25 |
| 1538315460 | Mark D Damron | Dentist | 2800 Peoples St Ste 90, Johnson City, TN 37604-4158 | 2008-08-12 |
| 1356556229 | Diane Downton | Dentist | 281 Riverside Dr, Johnson City, NY 13790-2726 | 2007-05-13 |
| 1518181577 | William J Kucko | Dentist | 226 Oakdale Rd, Johnson City, NY 13790-1127 | 2007-04-12 |
| 1154450294 | Milton Keith Ellis | Dentist | 2806 W Market St, Johnson City, TN 37604-5166 | 2007-03-05 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
Please comment or provide details below to improve the information on KEVIN L 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.