Active NPI
Lori Little-Levenson
- Periodontics
- Washington Court House, OH
National Provider Identifier
1295253292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 30-019345
- Practice address
- 743 Carolyn Rd
Washington Court House, OH 43160-2348 - Phone
- (740) 335-8877
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Companion | 372600000X | |||
| Periodontics | 1223P0300X | 30-019345 | OH | Primary |
Addresses
Primary practice location
743 Carolyn Rd
Washington Court House, OH 43160-2348
Mailing address
5233 Thornhill CT
Grove City, OH 43123-9403
Other practice location 1
5233 Thornhill Ct
Grove City, OH 43123
Phone (614) 638-2959
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | DRLORI@LEVENSONPERIO.COM | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30-019345 | OH | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1295253292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5233 THORNHILL CT",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431239403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 CAROLYN RD",
"city": "WASHINGTON COURT HOUSE",
"state": "OH",
"postal_code": "431602348",
"telephone_number": "740-335-8877"
}
],
"practiceLocations": [
{
"address_1": "5233 Thornhill Ct",
"address_purpose": "LOCATION",
"city": "Grove City",
"state": "OH",
"postal_code": "43123",
"country_code": "US",
"telephone_number": "614-638-2959",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LITTLE-LEVENSON",
"first_name": "LORI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "OH",
"license": "30-019345",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "DRLORI@LEVENSONPERIO.COM",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "743 Carolyn Rd",
"city": "Washington Court House",
"state": "OH",
"country_code": "US",
"postal_code": "431602348",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Washington Court House, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.