Individual provider Active NPI

Mayer Glickson Levy, DDS

  • Dentist
  • Newport News, VA
National Provider Identifier
1114037983
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
0401003256 Issued in VA
Practice address
367 Deneigh Blvd.
Newport News, VA 23608-3732
Phone
(757) 877-9281
Fax
(757) 874-2730
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0401003256 VA Primary

Addresses

Primary practice location

367 Deneigh Blvd.
Newport News, VA 23608-3732

Mailing address

367 Deneigh Blvd.
Newport News, VA 23608-3732
Phone (757) 877-9281

Other identifiers 1

IdentifierTypeStateIssuer
9179533MedicaidVA

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
0401003256VAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Guy G. Levy, D.D.S. and Mayer G. Levy, D.D.S., P.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114037983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 DENEIGH BLVD.",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236083732",
            "telephone_number": "757-877-9281",
            "fax_number": "757-874-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 DENEIGH BLVD.",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236083732",
            "telephone_number": "757-877-9281",
            "fax_number": "757-874-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "MAYER",
        "middle_name": "GLICKSON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401003256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9179533",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

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.

Verify at the official NPI Registry.