Levi S.Palmer, DDS, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

52667 Issued in CA

Legal business name

LEVI S.PALMER, DDS, INC.

Practice address

626 S Main St
Lakeport, CA 95453-5324

Phone

(707) 262-1919

Fax

(707) 262-5831

NPI assigned

Jul 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Levi S. Palmer, D.D.S.

Title

President

Phone

(707) 262-1919

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1083844930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 S MAIN ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535324",
            "telephone_number": "707-262-1919",
            "fax_number": "707-262-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 S MAIN ST",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535324",
            "telephone_number": "707-262-1919",
            "fax_number": "707-262-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVI S.PALMER, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-24",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "LEVI",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-262-1919",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "52667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Simone Latham
• Jai Goo Lee, DDS
• Lemuel C & Elmezen Martin
• Ivette Lepe
• Peter Joseph Leresche
• Patricia Ann Levine, RN
• Daniel Gene Lewis, M.D.
• Jennifer Sue Lewis, ACSW
• Janelle Renee Leyone, OT
• Zenia Leyva Chou

• Pediatric Dentistry in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; 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.