Individual provider Active NPI

Jane Tchilinguirian Levon, DDS

  • General Practice Dentistry
  • Little Neck, NY
National Provider Identifier
1154490969
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
049197 Issued in NY
Practice address
256 20 Horace Harding Expressway
Little Neck, NY 11362
Phone
(718) 428-7780
Fax
(718) 423-4738
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 049197 NY Primary

Addresses

Primary practice location

256 20 Horace Harding Expressway
Little Neck, NY 11362

Mailing address

256 20 Horace Harding Expressway
Little Neck, NY 11362
Phone (718) 428-7780

Other identifiers 1

IdentifierTypeStateIssuer
02223870MedicaidNY

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
049197NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543190400000",
    "number": "1154490969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 20 HORACE HARDING EXPRESSWAY",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "718-428-7780",
            "fax_number": "718-423-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 20 HORACE HARDING EXPRESSWAY",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "718-428-7780",
            "fax_number": "718-423-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHILINGUIRIAN LEVON",
        "first_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2018-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "049197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02223870",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.