Individual provider Active NPI

Elliott Levy, D.D.S.

  • Dentist
  • Des Plaines, IL
National Provider Identifier
1134433238
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019-028446 Issued in IL
Practice address
444 Lee St
Des Plaines, IL 60016-4613
Phone
(847) 827-2929
Fax
(206) 350-4263
NPI assigned
Jul 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019-028446 IL Primary

Addresses

Primary practice location

444 Lee St
Des Plaines, IL 60016-4613

Mailing address

444 Lee St
Des Plaines, IL 60016-4613
Phone (847) 827-2929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140717001352 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2567688120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019-028446ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Des Plaines Chiropractic Center PastSince Nov 1, 1998 Accepting new patients
Brite Bite Dental, PC Dentist Past Accepting new patients

Organizations & group practices 2

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": "1280448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1134433238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164613",
            "telephone_number": "847-827-2929",
            "fax_number": "206-350-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600164613",
            "telephone_number": "847-827-2929",
            "fax_number": "206-350-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-028446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.