Individual provider Active NPI

Levon Nikoyan, DDS

  • Dentist
  • Bellerose Village, NY
National Provider Identifier
1043535883
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
50 056226 Issued in NY
Practice address
24862 Jericho Tpke
Bellerose Village, NY 11001-4002
Phone
(516) 775-2222
NPI assigned
Apr 5, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 50 056226 NY Primary

Addresses

Primary practice location

24862 Jericho Tpke
Bellerose Village, NY 11001-4002

Mailing address

24862 Jericho Tpke
Bellerose Village, NY 11001-4002
Phone (516) 775-2222

Other practice location 1

110 E Main St Ste 6
Huntington, NY 11743-2845
Phone (631) 888-3790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 10, 2022 through Jun 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
50 056226NYMDDentist
056226NYMDPharmacist

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1043535883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24862 JERICHO TPKE",
            "city": "BELLEROSE VILLAGE",
            "state": "NY",
            "postal_code": "110014002",
            "telephone_number": "516-775-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24862 JERICHO TPKE",
            "city": "BELLEROSE VILLAGE",
            "state": "NY",
            "postal_code": "110014002",
            "telephone_number": "516-775-2222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 E Main St Ste 6",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "NY",
            "postal_code": "117432845",
            "country_code": "US",
            "telephone_number": "631-888-3790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKOYAN",
        "first_name": "LEVON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-05",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "50 056226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellerose Village, NY

Sources for this page

Verify at the official NPI Registry.