Active NPI
Elodie Levy
- General Practice Dentistry
- Copperas Cove, TX
National Provider Identifier
1639427230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 28314
- Practice address
- 2726 E Highway 190
Suite 112
Copperas Cove, TX 76522-2522 - Phone
- (254) 542-3500
- Fax
- (254) 542-4013
- NPI assigned
- Aug 29, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 28314 | TX | Primary |
Addresses
Primary practice location
2726 E Highway 190
Suite 112
Copperas Cove, TX 76522-2522
Mailing address
2726 E Highway 190
Suite 112
Copperas Cove, TX 76522-2522
Phone (254) 542-3500
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 |
|---|---|---|---|
| 28314 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346198400000",
"number": "1639427230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2726 E HIGHWAY 190",
"address_2": "SUITE 112",
"city": "COPPERAS COVE",
"state": "TX",
"postal_code": "765222522",
"telephone_number": "254-542-3500",
"fax_number": "254-542-4013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2726 E HIGHWAY 190",
"address_2": "SUITE 112",
"city": "COPPERAS COVE",
"state": "TX",
"postal_code": "765222522",
"telephone_number": "254-542-3500",
"fax_number": "254-542-4013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "ELODIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2012-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "28314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Copperas Cove, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.