Individual provider Active NPI

Lester Neil Levine, D.C.

  • Chiropractor
  • Deltona, FL
National Provider Identifier
1043210859
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH2246 Issued in FL
Practice address
1240 E Normandy Blvd
Deltona, FL 32725-8484
Phone
(386) 574-1464
Fax
(386) 574-4895
NPI assigned
Jul 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH2246 FL Primary

Addresses

Primary practice location

1240 E Normandy Blvd
Deltona, FL 32725-8484

Mailing address

1240 E Normandy Blvd
Deltona, FL 32725-8484
Phone (386) 574-1464

Other identifiers 2

IdentifierTypeStateIssuer
050455600MedicaidFL
97413OtherFLBCBS

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CH2246FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Deltona Chiropractic & Advanced Pain Manangement Center LLC Chiropractor Past Accepting new patients
Deltona Chiropractic & Advanced Pain Management Center, LLC Chiropractor Past 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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1043210859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E NORMANDY BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258484",
            "telephone_number": "386-574-1464",
            "fax_number": "386-574-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E NORMANDY BLVD",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258484",
            "telephone_number": "386-574-1464",
            "fax_number": "386-574-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "LESTER",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH2246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "050455600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "97413",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deltona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.