Individual provider Active NPI

David P Levy, D.D.S.

  • General Practice Dentistry
  • Oak Lawn, IL
National Provider Identifier
1316016090
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19A16020 Issued in IL
Practice address
10735 S Cicero Ave
Suite 101
Oak Lawn, IL 60453-5400
Phone
(708) 422-2426
Fax
(708) 422-2085
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 19A16020 IL Primary

Addresses

Primary practice location

10735 S Cicero Ave
Suite 101
Oak Lawn, IL 60453-5400

Mailing address

10735 S Cicero Ave
Suite 101
Oak Lawn, IL 60453-5400
Phone (708) 422-2426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150406001439 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2466770318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19A16020ILMDGeneral 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": "1183852800000",
    "number": "1316016090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10735 S CICERO AVE",
            "address_2": "SUITE 101",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535400",
            "telephone_number": "708-422-2426",
            "fax_number": "708-422-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10735 S CICERO AVE",
            "address_2": "SUITE 101",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535400",
            "telephone_number": "708-422-2426",
            "fax_number": "708-422-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "DAVID",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19A16020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.