Individual provider Active NPI

Jessica Lynn Levy, DDS

  • Pediatric Dentistry
  • Norwalk, CT
National Provider Identifier
1528201217
Registry record updated Jan 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
010473 Issued in CT
Practice address
37 North Ave
Suite 103
Norwalk, CT 06851-3827
Phone
(203) 817-2534
NPI assigned
Apr 11, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 010473 CT Primary
Pediatric Dentistry 1223P0221X 054639 NY

Addresses

Primary practice location

37 North Ave
Suite 103
Norwalk, CT 06851-3827

Mailing address

74 Pennsylvania Ave
Tuckahoe, NY 10707-2725
Phone (917) 841-7780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010473CTMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tongue-Tie Dental PLLC Pediatric Dentistry Current Accepting new patients
Tongue-Tie Dental of Ny PLLC Pediatric Dentistry Current Accepting new patients

Locations

37 North Ave
Ste 103
Norwalk, CT 06851
Phone (203) 817-2534

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1239408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483660800000",
    "number": "1528201217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 PENNSYLVANIA AVE",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072725",
            "telephone_number": "917-841-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 NORTH AVE",
            "address_2": "SUITE 103",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068513827",
            "telephone_number": "203-817-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-11",
        "last_updated": "2017-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CT",
            "license": "010473",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "054639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; 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.