Idan Yehezkel Lavian, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

063346 Issued in NY

Practice address

3800 Independence Ave
Bronx, NY 10463-1433

Phone

(914) 559-7757

NPI assigned

Apr 11, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• White Plains Dental PLLC

  • Public Health Dentistry
  • White Plains, NY
  • NPI 1902338064
  NPD (past)

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

{
    "created_epoch": "1649635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773532800000",
    "number": "1508508540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 W 239TH ST APT 3M",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631268",
            "telephone_number": "516-305-7713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 INDEPENDENCE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631433",
            "telephone_number": "914-559-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIAN",
        "first_name": "IDAN",
        "middle_name": "YEHEZKEL",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-11",
        "last_updated": "2026-03-15",
        "certification_date": "2026-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "063346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosaura Marie Lavandier
• Martial Isaac Lavant, DDS
• Lavelle School for the Blind
• Michele Christine Laverdiere, M.D.
• Iredeoya Lavezzari, MHC-LP
• Emily Lavigna
• Nanette Marie Lavin, LMSW
• Nevsha Lavinier
• Tamar Debora Lavy, M.D.
• Georgette Claudia Law, MSW, LCSW

• Dentist in Bronx, NY
• Providers in Bronx, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2026; 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.