Individual provider Active NPI

Harry A Dunlevy, D.M.D., M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Midlothian, VA
National Provider Identifier
1184962425
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
0401006907 Issued in VA
Practice address
11601 Robious Rd Ste 130
Midlothian, VA 23113-5605
Phone
(804) 794-3498
Fax
(804) 794-8344
NPI assigned
Jan 22, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 0401006907 VA Primary

Addresses

Primary practice location

11601 Robious Rd Ste 130
Midlothian, VA 23113-5605

Mailing address

11601 Robious Rd Ste 130
Midlothian, VA 23113-5605
Phone (804) 794-3498

Other names 1

  • Dr. Jack Dunlevy Other name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0401006907VAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1184962425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 ROBIOUS RD STE 130",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231135605",
            "telephone_number": "804-794-3498",
            "fax_number": "804-794-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 ROBIOUS RD STE 130",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231135605",
            "telephone_number": "804-794-3498",
            "fax_number": "804-794-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLEVY",
        "first_name": "HARRY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "VA",
            "license": "0401006907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACK",
            "last_name": "DUNLEVY",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.