Individual provider Active NPI

Hannah Levieddin, DMD

  • Dentist
  • Hollywood, FL
National Provider Identifier
1366166704
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
27067 Issued in FL
Practice address
4919 Sheridan St Ste 50
Hollywood, FL 33021-2823
Phone
(954) 510-9898
NPI assigned
Sep 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 27067 FL Primary

Addresses

Primary practice location

4919 Sheridan St Ste 50
Hollywood, FL 33021-2823

Mailing address

3900 N Hills Dr Apt 404
Hollywood, FL 33021-2540
Phone (901) 550-1994

Other practice location 1

3401 S Congress Ave Ste 206
Palm Springs, FL 33461-3066
Phone (561) 366-2222

Other practice location 2

2950 SW 8th St
Miami, FL 33135-2827
Phone (305) 456-9417

Other practice location 3

4410 W 16th Ave Ste 52
Hialeah, FL 33012-7193
Phone (305) 825-9899

Other identifiers 1

IdentifierTypeStateIssuer
27067OtherFLLICENSE

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

LicenseStateTypeSpecialty
27067FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Children'S Dentistry, P.a. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1366166704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 N HILLS DR APT 404",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212540",
            "telephone_number": "901-550-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 SHERIDAN ST STE 50",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330212823",
            "telephone_number": "954-510-9898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 S Congress Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "FL",
            "postal_code": "334613066",
            "country_code": "US",
            "telephone_number": "561-366-2222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2950 SW 8th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331352827",
            "country_code": "US",
            "telephone_number": "305-456-9417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4410 W 16th Ave Ste 52",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330127193",
            "country_code": "US",
            "telephone_number": "305-825-9899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVIEDDIN",
        "first_name": "HANNAH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-29",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "27067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "27067",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.