Active NPI
Philip Levis, DDS
- Endodontics
- Eastchester, NY
National Provider Identifier
1144374372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 037666-1
- Practice address
- 281 White Plains Rd
Eastchester, NY 10709-4407 - Phone
- (914) 961-1404
- Fax
- (914) 961-1405
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 037666-1 | NY | Primary |
Addresses
Primary practice location
281 White Plains Rd
Eastchester, NY 10709-4407
Mailing address
281 White Plains Rd
Eastchester, NY 10709-4407
Phone (914) 961-1404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160603000959 | NY | Order and Referring Only - Dentist | 7113217134 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 037666-1 | NY | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144374372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "281 WHITE PLAINS RD",
"city": "EASTCHESTER",
"state": "NY",
"postal_code": "107094407",
"telephone_number": "914-961-1404",
"fax_number": "914-961-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "281 WHITE PLAINS RD",
"city": "EASTCHESTER",
"state": "NY",
"postal_code": "107094407",
"telephone_number": "914-961-1404",
"fax_number": "914-961-1405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIS",
"first_name": "PHILIP",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "NY",
"license": "037666-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastchester, NY
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.