Active NPI
Lawrence Jay Levens, DDS, MS, PC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Saint Louis, MO
National Provider Identifier
1043350424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 014562
- Practice address
- 2821 N Ballas Rd
Suite 155
Saint Louis, MO 63131-2321 - Phone
- (314) 872-3218
- Fax
- (314) 872-3219
- NPI assigned
- Feb 7, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 014562 | MO | Primary |
Addresses
Primary practice location
2821 N Ballas Rd
Suite 155
Saint Louis, MO 63131-2321
Mailing address
2821 N Ballas Rd
Suite 155
Saint Louis, MO 63131-2321
Phone (314) 872-3218
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014562 | Other | MO | STATE LICENSE NUMBER |
| 1366646622 | Other | MO | NPI TYPE 2 |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014562 | MO | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence J. Levens, DDS, Ms, P.C. | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Saint Louis, MO
- NPI 1366646622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043350424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2821 N BALLAS RD",
"address_2": "SUITE 155",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312321",
"telephone_number": "314-872-3218",
"fax_number": "314-872-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 N BALLAS RD",
"address_2": "SUITE 155",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631312321",
"telephone_number": "314-872-3218",
"fax_number": "314-872-3219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVENS",
"first_name": "LAWRENCE",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "DDS, MS, PC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MO",
"license": "014562",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "014562",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TYPE 2",
"identifier": "1366646622",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.