Active NPI
Josefa Altagracia Parra Levin Dentistry PC
- General Practice Dentistry
- Brooklyn, NY
National Provider Identifier
1194872556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 042625
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01229643 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Josefa Altagracia Parra Levin Dentistry PC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Staten Island, NY
- NPI 1760539118
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.