DAVID M LEWIS (DDS) – Oral and Maxillofacial Pathology Dentistry, NPI 1760451256

DAVID M LEWIS (DDS) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in Oral and Maxillofacial Pathology Dentistry. They hold the professional credentials DDS. They hold a License No. 5508 (OK). The NPI Number for DAVID M LEWIS (DDS) is 1760451256

Main info

Male
48 Years Of Experience
Accepts Medicare Assignment
Name
DAVID M LEWIS (DDS)
NPI
1760451256
Phone
(405) 271-1515
Address
1122 NE 13TH ST
Enumeration Date
16 March 2006
Last Update Date
28 May 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4052715714
Graduation Year
1978 (48 years ago)
PAC ID
6305851494
Group Practice PAC ID
9436104346
Professional Enrollment ID
I20060210000235
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DAVID M LEWIS (DDS)

  • 1122, Northeast 13th Street, Oklahoma City, Oklahoma County, Oklahoma, 73117, United States

    ORI236

    OKLAHOMA CITY, OK 731171039

    Phone: (405) 271-1515

    Type: Mailing

  • 940, Stanton L Young Boulevard, Oklahoma City, Oklahoma County, Oklahoma, 73117, United States

    STE. 451

    OKLAHOMA CITY, OK 731045020

    Phone: (405) 271-2422

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-02-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060210000235IOral SurgeryOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 73117)

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Provider's Procedures

DAVID M LEWIS (DDS) performs procedures in Oral and Maxillofacial Pathology Dentistry. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORAL SURGERYOK21085Impression and custom preparation of outer ear prosthesis2424

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436104346View full group profile
NameSpecialtyState
D E N T I S TOK
Oral SurgeryOK
D E N T I S TOK
Dentist, PathologyIL

Reviews

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Frequently asked questions

Can I verify DAVID M LEWIS (DDS) with an NPI only?
You can start verification with NPI 1760451256 for DAVID M LEWIS (DDS), then check state licensing separately.
Does the file indicate DAVID M LEWIS (DDS) is practicing under active NPI?
Directory data currently reports DAVID M LEWIS (DDS) as active.
What is DAVID M LEWIS (DDS)'s specialty?
The listing groups DAVID M LEWIS (DDS) with Oral and Maxillofacial Pathology Dentistry. Clinical services aligned with this taxonomy classification.
What address line appears for DAVID M LEWIS (DDS)?
DAVID M LEWIS (DDS)'s geographic hint is Oklahoma City, Oklahoma in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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