NPIMap

Organization Active NPI

S.P.Levi,DDS, Inc.

  • Dentist
  • Lake Elsinore, CA
National Provider Identifier
1508218017
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
39195 Issued in CA
Legal business name
S.P.LEVI,DDS, INC.
Practice address
32235 Mission TRL Ste 8
Lake Elsinore, CA 92530-4527
Phone
(951) 674-6808
NPI assigned
Jul 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Dr. Soheil P Levi, DDS
Title
President
Phone
(951) 674-6808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 39195 CA Primary

Addresses

Primary practice location

32235 Mission TRL Ste 8
Lake Elsinore, CA 92530-4527

Mailing address

32235 Mission TRL Ste 8
Lake Elsinore, CA 92530-4527

National Provider Directory

National Provider Directory
Tax ID family
Lake Elsinore Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1508218017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32235 MISSION TRL STE 8",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32235 MISSION TRL STE 8",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304527",
            "telephone_number": "951-674-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.P.LEVI,DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "SOHEIL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-674-6808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "39195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Elsinore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.