Dr. Andrew B. Levy, DDS, P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

056210 Issued in NY

Legal business name

DR. ANDREW B. LEVY, DDS, P.C.

Practice address

77 E. 12TH St
PS1
New York, NY 10003

Phone

(212) 674-2024

NPI assigned

Dec 10, 2014

Organization subpart

Yes

Parent organization

VILLAGE DENTAL (DBA)As reported in NPPES

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

Authorized official

Name

Mr. Andrew Bryan Levy, D.D.S.

Title

Owner/Dentist

Phone

(212) 674-2024

Specialties & licenses 1

Addresses

Other names 1

• Village Dental Doing business as

Part of

Dr Andrew B Levy DDS PC

Locations

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1508264359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E. 12TH ST",
            "address_2": "PS1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-674-2024",
            "fax_number": "212-674-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E. 12TH ST",
            "address_2": "PS1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-674-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANDREW B. LEVY, DDS, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VILLAGE DENTAL (DBA)",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "212-674-2024",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Village Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in New York, NY
• Providers in New York, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.