Organization Active NPI

David G. Lebowitz D.M.D., P.C.

  • Dental Clinic/Center
  • Paradise Valley, AZ
National Provider Identifier
1497790893
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2517 Issued in AZ
Legal business name
DAVID G. LEBOWITZ D.M.D., P.C.
Practice address
10555 N Tatum Blvd
A104
Paradise Valley, AZ 85253-1096
Phone
(480) 998-7775
NPI assigned
Jun 19, 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. David G. Lebowitz, D.M.D.
Title
President
Phone
(480) 998-7775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2517 AZ Primary

Addresses

Primary practice location

10555 N Tatum Blvd
A104
Paradise Valley, AZ 85253-1096

Mailing address

10555 N Tatum Blvd
A104
Paradise Valley, AZ 85253-1096

Other identifiers 1

IdentifierTypeStateIssuer
2517OtherAZDENTAL LICENSE

National Provider Directory

National Provider Directory

Locations

10555 N Tatum Blvd
Ste A104
Paradise Valley, AZ 85253
Phone (480) 806-1223

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497790893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 N TATUM BLVD",
            "address_2": "A104",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 N TATUM BLVD",
            "address_2": "A104",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852531096",
            "telephone_number": "480-998-7775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G. LEBOWITZ D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEBOWITZ",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-998-7775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AZ",
            "license": "2517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "2517",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise Valley, AZ

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.