Individual provider Active NPI

Jonathan A. Levey, DDS

  • Dentist
  • Georgetown, TX
National Provider Identifier
1003986977
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
28811 Issued in TX
Practice address
105 Wildwood Dr Ste 216
Georgetown, TX 78633-1352
Phone
(512) 942-6729
Fax
(512) 942-6846
NPI assigned
Nov 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00007394 WA
Dentist 122300000X 28811 TX Primary

Addresses

Primary practice location

105 Wildwood Dr Ste 216
Georgetown, TX 78633-1352

Mailing address

7517 Cameron Rd Ste 107
Austin, TX 78752-2055
Phone (425) 371-1222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE00007394WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Geoffrey Chan, DDS, PLLC General Practice Past Accepting new patients
Carus Dental PC General Practice PastSince Jan 26, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1003986977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 CAMERON RD STE 107",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787522055",
            "telephone_number": "425-371-1222",
            "fax_number": "512-371-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WILDWOOD DR STE 216",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786331352",
            "telephone_number": "512-942-6729",
            "fax_number": "512-942-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVEY",
        "first_name": "JONATHAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00007394",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "28811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.