Organization Active NPI

Josefa Altagracia Parra Levin Dentistry PC

  • General Practice Dentistry
  • Brooklyn, NY
National Provider Identifier
1194872556
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
042625 Issued in NY
Legal business name
JOSEFA ALTAGRACIA PARRA LEVIN DENTISTRY PC
Practice address
648 D Grand St
Brooklyn, NY 11211
Phone
(718) 384-4009
Fax
(718) 384-4009
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Josefa Altagracia Parra Levin, DDS
Title
General Dentist
Phone
(718) 384-4009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 042625 NY Primary

Addresses

Primary practice location

648 D Grand St
Brooklyn, NY 11211

Mailing address

648 D Grand St
Bklyn, NY 11211
Phone (718) 384-4009

Other identifiers 1

IdentifierTypeStateIssuer
01229643MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Josefa Altagracia Parra Levin Dentistry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

648D Grand St
Brooklyn, NY 11211
Phone (718) 384-4009

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194872556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 D GRAND ST",
            "city": "BKLYN",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "718-384-4009",
            "fax_number": "718-384-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 D GRAND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11211",
            "telephone_number": "718-384-4009",
            "fax_number": "718-384-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEFA ALTAGRACIA PARRA LEVIN DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARRA LEVIN",
        "authorized_official_first_name": "JOSEFA",
        "authorized_official_middle_name": "ALTAGRACIA",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "718-384-4009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "042625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01229643",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.