IndividualActive
Blake Lewis
NPI 1598457384 · Dentist · Kirksville, MO
Provider details
- NPI number
- 1598457384
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Dental Providers
- Driver172A00000X
Other Service Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
402 W Jefferson St
Kirksville, MO 63501-3407
Phone: (660) 665-2741
Street-level locationGet directions
Mailing address
1416 Crown Dr
Kirksville, MO 63501-2548
Registry dates
- Enumerated
- 2023-05-22
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.