Active NPI
Norman B. Levine, D.P.M.
- Foot Surgery Podiatrist
- Westport, CT
National Provider Identifier
1063456499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- CT000111
- Practice address
- 29 E Main St
Westport, CT 06880-3749 - Phone
- (203) 227-9345
- Fax
- (203) 454-0212
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | CT000111 | CT | Primary |
Addresses
Primary practice location
29 E Main St
Westport, CT 06880-3749
Mailing address
29 E Main St
Westport, CT 06880-3749
Phone (203) 227-9345
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004130663 | Medicaid | CT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| CT000111 | CT | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1063456499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 E MAIN ST",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068803749",
"telephone_number": "203-227-9345",
"fax_number": "203-454-0212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 E MAIN ST",
"city": "WESTPORT",
"state": "CT",
"postal_code": "068803749",
"telephone_number": "203-227-9345",
"fax_number": "203-454-0212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "NORMAN",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "CT",
"license": "CT000111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004130663",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.