Organization Active NPI

Le Family Dental Practice P.C

  • General Practice Dentistry
  • Bridgeport, CT
National Provider Identifier
1508013673
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
009059 Issued in CT
Legal business name
LE FAMILY DENTAL PRACTICE P.C
Practice address
665 Clinton Ave
Bridgeport, CT 06605-1711
Phone
(203) 336-5321
Fax
(203) 336-5327
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Ed Levi, D.D.S
Title
Dentist
Phone
(203) 336-5321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 009059 CT Primary

Addresses

Primary practice location

665 Clinton Ave
Bridgeport, CT 06605-1711

Mailing address

665 Clinton Ave
Bridgeport, CT 06605-1711
Phone (203) 336-5321

National Provider Directory

National Provider Directory

Locations

665 Clinton Ave
Bridgeport, CT 06605
Phone (203) 336-5321

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": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1508013673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 CLINTON AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066051711",
            "telephone_number": "203-336-5321",
            "fax_number": "203-336-5327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 CLINTON AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066051711",
            "telephone_number": "203-336-5321",
            "fax_number": "203-336-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE FAMILY DENTAL PRACTICE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "203-336-5321",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "009059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.