Levi R Evalt DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LEVI R EVALT DDS, PC

Doing business as

Family & Cosmetic Dentistry

Practice address

13025 West Main Rd
North East, PA 16428-2857

Phone

(814) 725-9000

Fax

(814) 725-9100

NPI assigned

Mar 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Levi R Evalt, DDS

Title

Dentist

Phone

(814) 725-9000

Specialties & licenses 1

Addresses

Other names 1

• Family & Cosmetic Dentistry Doing business as

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205712000000",
    "number": "1528239787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13025 WEST MAIN RD",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164282857",
            "telephone_number": "814-725-9000",
            "fax_number": "814-725-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13025 WEST MAIN RD",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164282857",
            "telephone_number": "814-725-9000",
            "fax_number": "814-725-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVI R EVALT DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-03-17",
        "status": "A",
        "authorized_official_last_name": "EVALT",
        "authorized_official_first_name": "LEVI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "814-725-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in North East, PA
• Providers in North East, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; 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.