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Blake Allen Lewis

NPI 1598457384ActiveIndividual· Dentist· Kirksville, MO

Dentist in Kirksville, Missouri, licensed in MO, with an NPI issued in May 2023.

Overview

NPI1598457384
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedMay 22, 2023
Last updated in NPPESMay 28, 2026
Certified by providerMay 28, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X2026022436MO
Driver172A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Dentist providers in Kirksville

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