Individual provider Active NPI

David Levi Jurman, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Plainview, NY
National Provider Identifier
1447269741
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
049161-1 Issued in NY
Practice address
1181 Old Country Rd
Suite 4
Plainview, NY 11803-5018
Phone
(516) 822-7880
Fax
(516) 822-5010
NPI assigned
Aug 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 049161-1 NY Primary

Addresses

Primary practice location

1181 Old Country Rd
Suite 4
Plainview, NY 11803-5018

Mailing address

1181 Old Country Rd
Suite 4
Plainview, NY 11803-5018
Phone (516) 822-7880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2021 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
049161-1NYMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447269741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 OLD COUNTRY RD",
            "address_2": "SUITE 4",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035018",
            "telephone_number": "516-822-7880",
            "fax_number": "516-822-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 OLD COUNTRY RD",
            "address_2": "SUITE 4",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035018",
            "telephone_number": "516-822-7880",
            "fax_number": "516-822-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURMAN",
        "first_name": "DAVID",
        "middle_name": "LEVI",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "049161-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

Verify at the official NPI Registry.