Active NPI
Jessica Lynn Levy, DDS
- Pediatric Dentistry
- Norwalk, CT
National Provider Identifier
1528201217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 010473
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 010473 | CT | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pediatric Dentistry
- Norwalk, CT
- NPI 1427727296
-
- Pediatric Dentistry
- Scarsdale, NY
- NPI 1255052569
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.