NPIMap

Organization Active NPI

Mitchell R Levine DMD PA

Doing business as Jacksonville Dental Sleep Medicine

  • Dentist
  • Jacksonville, FL
National Provider Identifier
1598062978
Registry record updated Apr 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN10789 Issued in FL
Legal business name
MITCHELL R LEVINE DMD PA
Doing business as
Jacksonville Dental Sleep Medicine
Practice address
3600 Cardinal Point Dr
Jacksonville, FL 32257-5581
Phone
(904) 737-4626
Fax
(904) 737-2126
NPI assigned
Feb 20, 2011
Last updated
Apr 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2011

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

Authorized official

Name
Dr. Mitchell Levine, D.M.D.NPI 1043318744
Title
President
Phone
(904) 737-4626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN10789 FL Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

3600 Cardinal Point Dr
Jacksonville, FL 32257-5581

Mailing address

3600 Cardinal Point Dr
Jacksonville, FL 32257-5581
Phone (904) 737-4626

Other names 1

  • Jacksonville Dental Sleep Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

3600 Cardinal Point Dr
Jacksonville, FL 32257
Phone (904) 737-4626

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302566400000",
    "number": "1598062978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 CARDINAL POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575581",
            "telephone_number": "904-737-4626",
            "fax_number": "904-737-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 CARDINAL POINT DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575581",
            "telephone_number": "904-737-4626",
            "fax_number": "904-737-2126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL R LEVINE DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-20",
        "last_updated": "2011-04-12",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-737-4626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN10789",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacksonville Dental Sleep Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; 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.