NPIMap

Organization Active NPI

Jed E Levitas DMD PA

  • Dentist
  • Indian Trail, NC
National Provider Identifier
1417062019
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
JED E LEVITAS DMD PA
Practice address
251 Post Office Dr
#A1
Indian Trail, NC 28079-7686
Phone
(704) 821-3019
Fax
(704) 821-0113
NPI assigned
Aug 21, 2006
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. Jed Eric Levitas, DMDNPI 1285766790
Title
President
Phone
(704) 821-3019

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

251 Post Office Dr
#A1
Indian Trail, NC 28079-7686

Mailing address

251 Post Office Dr
#A1
Indian Trail, NC 28079-7686
Phone (704) 821-3019

National Provider Directory

National Provider Directory

Locations

251 Post Office Dr
Ste A1
Indian Trail, NC 28079
Phone (704) 821-3019

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417062019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 POST OFFICE DR",
            "address_2": "#A1",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280797686",
            "telephone_number": "704-821-3019",
            "fax_number": "704-821-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 POST OFFICE DR",
            "address_2": "#A1",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280797686",
            "telephone_number": "704-821-3019",
            "fax_number": "704-821-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JED E LEVITAS DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVITAS",
        "authorized_official_first_name": "JED",
        "authorized_official_middle_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-821-3019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

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.