Individual provider Active NPI

Mark Levinsky, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • St Petersburg, FL
National Provider Identifier
1053524462
Registry record updated Jan 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN0012344 Issued in FL
Practice address
5200 16TH St N
St Petersburg, FL 33703-2612
Phone
(727) 527-7733
Fax
(727) 527-7733
NPI assigned
May 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN0012344 FL Primary

Addresses

Primary practice location

5200 16TH St N
St Petersburg, FL 33703-2612

Mailing address

5001 Queen Palm Ter NE
St Petersburg, FL 33703-6305
Phone (727) 527-7733

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
DN0012344FLMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200873600000",
    "number": "1053524462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 QUEEN PALM TER NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337036305",
            "telephone_number": "727-527-7733",
            "fax_number": "727-527-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032612",
            "telephone_number": "727-527-7733",
            "fax_number": "727-527-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINSKY",
        "first_name": "MARK",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN0012344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2008; 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.