1275576936 NPI number — DR. PARRISH S LEWIN DC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275576936 NPI number — DR. PARRISH S LEWIN DC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LEWIN
Provider First Name:
PARRISH
Provider Middle Name:
S
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275576936
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/22/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
430 N DOBSON RD
Provider Second Line Business Mailing Address:
STE 116
Provider Business Mailing Address City Name:
MESA
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85201
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-969-9775
Provider Business Mailing Address Fax Number:
480-969-9506

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
430 N DOBSON RD
Provider Second Line Business Practice Location Address:
STE 116
Provider Business Practice Location Address City Name:
MESA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-969-9775
Provider Business Practice Location Address Fax Number:
480-969-9506
Provider Enumeration Date:
06/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  DC5592 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 225X00000X , with the licence number: 3235 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 860835780 . This is a "TAX ID #" identifier . This identifiers is of the category "OTHER".
  • Identifier: DC5592 . This is a "LICENSE #" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com