Individual provider Active NPI

Vitaly G. Levintov, D.M.D.

  • Dentist
  • Palm Harbor, FL
National Provider Identifier
1609329994
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN22210 Issued in FL
Practice address
33160 US 19 N
Palm Harbor, FL 34684-3127
Phone
(813) 563-0872
NPI assigned
Aug 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN22210 FL Primary

Addresses

Primary practice location

33160 US 19 N
Palm Harbor, FL 34684-3127

Mailing address

33160 US 19 N
Palm Harbor, FL 34684-3127
Phone (813) 563-0872

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922002130 FL Order and Referring Only - DentistPractitioner - Dentist 5698062347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vitaly Levintov Past Accepting new patients

Organizations & group practices 1

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": "1470182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1609329994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33160 US 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843127",
            "telephone_number": "813-563-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33160 US 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843127",
            "telephone_number": "813-563-0872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINTOV",
        "first_name": "VITALY",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-03",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN22210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.